FINDINGS:
Lungs are normally expanded.  There is no focal airspace opacity to
 suggest pneumonia.  The heart is mildly enlarged, but unchanged.  The
 mediastinal and hilar contours are stable with tortuosity of the aorta and
 mild prominence of the pulmonary artery, better seen on prior CT of the chest.
 Small bilateral pleural effusions persist.  There is no pneumothorax. 
 Compression deformity of T6 is unchanged.

IMPRESSION:
Stable small bilateral pleural effusions and mildly enlarged
 cardiac silhouette similar to prior.