<num>. a moderate to large loculated pleural effusion on the right appears unchanged. the small, left pleural effusion appears mildly increased in size and could potentially have a more substantial subpulmonic component based tiny increased distance from apparent diaphragm level to location of gastric bubble. if warranted clinically, left lateral decubitus radiograph may be helpful to better quantify the size of the left a fusion. <num>. multilevel mid thoracic vertebral body compression fractures appear unchanged. <num>. geographic marginated opacities in the right upper lobe likely represent postradiation changes and appear stable. <num>. mediastinal and hilar lymphadenopathy appears unchanged.