Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect chest radiograph ___ at 21 :02 is submitted .
    OUTPUT:
    
Overall cardiac and mediastinal contours are likely stable given patient rotation . Calcified hilar nodes are consistent with known sarcoidosis . There continues to be deformity of the right upper chest wall with some right lateral pleural thickening and scarring with volume loss at the right medial lung base . However , there has been interval obscuration of the lateral aspect of the left hemidiaphragm which when correlated with the recent CT may reflect an early pneumonia or aspiration . Clinical correlation is recommended . No pneumothorax . No pulmonary edema . No obvious pleural effusions .