Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size remains moderately enlarged . The aorta is tortuous . Mediastinal and hilar contours are unchanged . Moderate emphysema is re - demonstrated . Ill - defined focal opacity within the peripheral aspect of the right upper lobe appears grossly unchanged . New ill - defined opacity is seen within the lingula . No pleural effusion or pneumothorax is demonstrated . Moderate multilevel degenerative changes are noted in the thoracic spine . Multiple clips are again seen in the region of the gastroesophageal junction .
    OUTPUT:
    
1 . New patchy opacity within the lingula which may reflect pneumonia in the correct clinical setting or new area of cryptogenic organizing pneumonia . 2 . Residual focal opacity within the periphery of the right upper lobe compatible with cryptogenic organizing pneumonia .