Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated and diaphragms are flattened . An ill - defined opacity in the right upper lobe is persists compared to ___ , and has changed configuration slightly . An 8 mm right lower lobe pulmonary nodule is stable . A small right effusion or pleural thickening is unchanged . There is no pneumothorax . Cardiac and mediastinal contours are unchanged , and the patient is status post esophagectomy and gastric pull - through .
    OUTPUT:
    
Persistent right upper lobe ill - defined opacity has changed configuration compared to the prior study and may be reflective of recurrent pneumonia or aspiration . Change in interpretation from the preliminary to final report was communicated with Dr ___ ___ phone at ___ on ___ by ___