FINDINGS:
In comparison with chest radiograph from , there is little
 overall change.  Sternal alignment is maintained and there is no evidence of
 hardware loosening or failure.  Lungs are clear without focal consolidation,
 pleural effusion or pneumothorax.  Mediastinal and hilar contours are normal. 
 Heart size is normal.

IMPRESSION:
No evidence of hardware loosening or failure.  Sternal alignment is
 maintained.