FINAL REPORT
 HISTORY: Productive cough.
 
 COMPARISON: Comparison is made with chest radiographs from. ___, ___, ___, and ___.
 
 FINDINGS: There is no left pleural effusion. There is no pneumothorax. Visualized osseous structures are unremarkable. Cardiomediastinal silhouette is stable. A chronic right pleural effusion is again noted. Chronic medial right apex pleural thickening and triangular peripheral interstital opacities in the right mid lung field are again seen. A hazy opacity consistent with chronic scarring related to radiation treatment is again seen in the medial right upper lobe. An 8 mm nodular opacity is again seen within the right lower lobe, unchanged from prior exam. The lungs are hyperinflated. There is atelectasis at the left lung base. There are new patchy airspace opacities in the bilateral lung bases, concerning for aspiration. The patient is status post esophagectomy and gastric pull through.
 
 
 IMPRESSION:
 
 1. Unchanged small right pleural effusion.
 
 2. Stable right upper lobe radiation treatment related changes and stable right lower lobe pulmonary nodule.
 
 3. New bibasilar patchy airspace opacities, concerning for aspiration pneumonia.
