The obvious change is the Millenium footbridge. This is obscuring the tall building towards the left side of the picture which, from the details that can be made out, appears to be unchanged. The new terrcotta-coloured building on the riverside is now obscuring the College of Arms and the Welsh Church of St. Benet's in Queen Victoria Street. The building to the right on the riverfront appears to have been rebuilt but with some architectural references to the original. St.Paul's itself, gleaming white, is clearly showing the effects of the cleaning that has been carried out since the 1977 shot.
Regrettably the NatWest Tower and another tower block to the right of St.Paul's dome are now degrading the skyline.