FINDINGS:
There are small bilateral pleural effusions, larger on the right than on the
 left, as seen on previous exam.  Associated right basilar atelectasis is
 noted. Superiorly, the lungs are clear. Cardiac silhouette is enlarged similar
 to prior. Linear calcific density at the left ventricular apex is compatible
 with prior infarct.  Cystic prevascular mediastinal lesion and bilateral
 pulmonary nodules are better seen on prior CT scan.

IMPRESSION:
Bilateral pleural effusions, right greater than left, similar to recent CT
 scan. Known and pulmonary nodules better seen on CT scan.