Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal silhouette is unchanged , and shifted leftward . The right lung is hyperaerated expanded , unchanged since prior examination . The right - sided chest port is noted , with the tip terminating at the cavoatrial junction . A round opacity in the left upper lung corresponds to a rounded nodule seen on recent chest CT . Another , the smaller round opacity is noted in the right lower lung which does not have a definite correlate on recent CT scan . There is stable elevation of the left hemidiaphragm . No definite pneumothorax or large pleural effusion is noted .
    OUTPUT:
    
1 . Left upper lobe opacity corresponding to nodule seen on recent CT of the chest . New right lower lobe pulmonary nodule . 2 . No definite acute intrathoracic process .