FINDINGS:
As compared to the previous radiograph, no relevant change is seen.
 4-mm calcified granuloma in the left lower lung.  No evidence of acute or
 chronic diffuse lung disease.  No acute pneumonia or pulmonary edema. 
 Borderline size of the cardiac silhouette.  Moderate tortuosity of the
 thoracic aorta.  No evidence of pleural effusions.