Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac , mediastinal and hilar contours are stable . The patient is status post esophagectomy and gastric pull - through . Chronic scarring within the medial aspect of the right upper lobe is compatible with post radiation changes . Tenting of the right hemidiaphragm is compatible chronic volume loss in the right lung . Worsening opacification within the right upper lobe is concerning for recurrent pneumonia or aspiration . 8 mm nodular opacity within the right lower lobe is unchanged . The left lung is clear . Blunting of the right costophrenic angle is chronic , and likely reflects a chronic small pleural effusion . No pneumothorax . No acute osseous abnormalities demonstrated .
    OUTPUT:
    
1 . Worsening opacification within the right upper lobe which is concerning for recurrent pneumonia or aspiration . Follow up radiographs are recommended after treatment to ensure resolution of this finding . 2 . Status post esophagectomy and gastric pull - through with right upper lobe medial scarring related to prior radiation treatment . 3 . Unchanged 8 mm right lower lobe pulmonary nodule .