Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is normal . The right hila is normal . There is increase in size , convexity , and density in the left hilum with Kerley B line in the left lower lobe , consistent with lymphadenopathy due to lymphangitis carcinomatosis previously seen on CT . No pneumothorax . No fracture .
    OUTPUT:
    
1 . No evidence of pneumonia , CHF , or pleural effusion . 2 . Left lower lobe with lymphangitis carcinomatosis . Recommend follow - up with chest radiograph .