FINDINGS:
The lungs are clear except for minimal streaky density bilaterally consistent
 with subsegmental atelectasis scarring as before.  There is no pneumothorax. 
 The heart is normal in size.  The aorta is calcified.  Mediastinal structures
 are stable.  A bipolar transvenous pacemaker is place.  The bony thorax
 grossly intact.  There is no significant change.

IMPRESSION:
No active cardiopulmonary disease.