Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no pneumothorax or pneumomediastinum . A 3 .9 cm rounded opacity again projects over the right lung base and is unchanged from ___ . There are new patchy bibasilar opacities , worse at the left lung base , and a more vague opacity in the left upper lung which may represent pneumonia in appropriate clinical setting . There is engorgement of the central vasculature without strong evidence for pulmonary edema . No pleural effusion .
    OUTPUT:
    
1 . No evidence for esophageal rupture . 2 . 3 .9 cm rounded opacity projecting over the right lung base is unchanged from ___ . Again , chest CT is recommended for full evaluation . 3 . New patchy opacities at the left lung base and a vague opacity in the left upper lung are non-specific , especially in the setting of suspected underlying mass , and may reflect pneumonia or aspiration with supporting clinical evidence . These could further assessed at the time of cross - sectional imaging .