FINDINGS:
Multiple bilateral pulmonary nodules are again seen.  There is scarring/
 atelectasis at the lateral left lung base as well pleural thickening.  There
 is persistent blunting of the left costophrenic angle.  There is also slight
 blunting of the right costophrenic angle.  Patchy left base retrocardiac
 opacity is seen, nonspecific, could relate to infection or metastatic disease.
 No pneumothorax is seen.  Left-sided Port-A-Cath terminates in the right
 atrium.

IMPRESSION:
Multiple bilateral pulmonary nodules are again seen.  There is scarring/
 atelectasis at the lateral left lung base as well pleural thickening.  There
 is persistent blunting of the left costophrenic angle.  There is also slight
 blunting of the right costophrenic angle. Patchy left base retrocardiac
 opacity is seen, nonspecific, could relate to infection or metastatic disease.
 No pneumothorax is seen.  Left-sided Port-A-Cath terminates in the right
 atrium.