Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The appearance is very similar to the prior examination with marked lobular circumferential pleural thickening in the right hemithorax . Aeration of the right lung appears perhaps mildly decreased , probably corresponding to increased volume loss , although a superimposed process or rapid progression of disease may explain the small change . The left lung remains clear .
    OUTPUT:
    
Worsening of opacification of the right lung , otherwise no significant change .