there has been interval removal of the right basilar pigtail catheter. the lucency anteriorly on the previous lateral view is less apparent suggesting that previously seen tiny pneumothorax has become even smaller. streaky opacities at the right base persist favoring atelectasis rather than infectious process. clinical correlation is advised. right subclavian picc line is unchanged. surgical clips are again seen overlying the left axillary region. overall cardiac and mediastinal contours are unchanged. a dense nodular opacity at the left apex is unchanged consistent with a granuloma. no evidence of pulmonary edema. no large pleural effusions.