Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size remains mildly enlarged and multiple mediastinal clips from prior CABG are again noted . The aorta remains tortuous and diffusely calcified . Pulmonary vasculature is not engorged . Hilar contours are similar . Ill - defined focal opacities are again noted within both upper lobes as well as within the left lower lobe , not substantially changed in the interval , and better assessed on the previous CT . No new focal consolidation , pleural effusion or pneumothorax is present . No acute osseous abnormalities detected . Clips are noted within the midline upper abdomen .
    OUTPUT:
    
Re - demonstration of multifocal parenchymal opacities compatible with adenocarcinoma , better assessed on the previous CT . No acute cardiopulmonary abnormality .