Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with marked emphysematous changes most pronounced within the upper lobes . Chain sutures are seen within the left upper lobe . Linear scarring is noted within the anterior aspect of the left upper lung lobe , unchanged . Left suprahilar opacity is unchanged and better assessed on the prior CT . No new focal consolidation , pleural effusion or pneumothorax is present . The heart size is normal . Calcifications of the aortic knob are re- demonstrated . Mediastinal and right hilar contours are unchanged . No acute osseous abnormalities detected . Partial resection of the left 5th rib is again noted .
    OUTPUT:
    
Emphysema and unchanged left suprahilar mass compatible with known malignancy . No acute cardiopulmonary abnormality .