Patchy air space opacities are noted in the bilateral mid to lower zones and left retrocardiac region which may be suggestive of worsening infective changes. A small left pleural effusion is noted with adjacent atelectasis.
No gross pneumothorax is detected. No subdiaphragmatic free gas is seen. Aortic calcifications are noted. Degenerative changes are noted of the imaged spine on a background of diffuse osteopenia. An old right 9th rib fracture is also seen.