Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac size is normal . Unusual appearance of the AP window is more conspicuous than before . Patient has known mediastinal and hilar lymphadenopathy better seen in prior CT . Biapical opacities larger on the left side are unchanged due to fibrosis . New opacity seen in the lateral view projecting over the heart in one of the a lower lobes is of unclear etiology and warrants further evaluation with CT . There is no pneumothorax or pleural effusion . Wedge shaped deformity of a mid thoracic vertebral body is unchanged . Surgical clips project in the right lower hemi thorax .
    OUTPUT:
    
New opacity seen in the lateral view in one of the lower lobes is of unclear etiology , warrants further evaluation with CT