Small foreign body noted in the right main bronchus on previous CT scan is now visualized within the distal left main bronchus. No associated lobar collapse is appreciated within the left lung. An interval improvement is noted in the right lung consolidative changes; however, tree-in-bud pattern, suggestive of endobronchial spread of active infective process is still appreciable. Minimal right-sided pneumothorax. No significant pleural / pericardial effusion or lymphadenopathy is seen. Large hiatal hernia.