no pneumothorax detected status post removal multiple lines and tubes. note is made that the lung apices are partially obscured by a developmental anomaly involving cervical ribs. enlargement of the cardiomediastinal silhouette, compatible with recent surgery, slightly improved. right suprahilar patchy opacities noted to the improved. increase patchy opacity at the right base. curvilinear appearance suggests some platelike atelectasis. an early infiltrate is considered less likely but cannot be entirely excluded. slight interval improvement in the left lower lobe collapse and/or consolidation. small bilateral effusions cannot be excluded. upper zone redistribution and mild vascular plethora, without other evidence of chf.