Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Again demonstrated within the right upper lobe and perihilar region is a chronic area of opacification compatible with radiation fibrosis . Streaky right lower lobe consolidative opacity is also chronic . Mediastinal contours are unchanged with atherosclerotic calcifications noted at the aortic arch . Mild pulmonary vascular engorgement is re - demonstrated . Small bilateral pleural effusions , right greater than left , are again noted . Streaky left basilar opacity may reflect atelectasis but infection is not excluded . Known spiculated nodule in the left upper lobe is better assessed on the previous CT . No pneumothorax is present . Multilevel degenerative changes are again seen in the thoracic spine . No radiopaque foreign body identified .
    OUTPUT:
    
Mild pulmonary vascular congestion with small bilateral pleural effusions , right greater than left . Radiation fibrosis in the right upper lobe and right perihilar region and chronic consolidative opacity in the right lower lobe . Streaky left basilar opacity may reflect atelectasis though infection can not be completely excluded . No radiopaque foreign body identified .