Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is normal . The aorta is unfolded . The mediastinal and hilar contours are unchanged . The pulmonary vasculature is normal . Lungs remain hyperinflated with emphysematous changes again seen . Lobulated mass measuring approximately 2 .0 x 3 .5 cm is grossly unchanged from prior exams . Other pulmonary nodules identified on prior chest CT are not well visualized on current radiograph . No new focal consolidation , pleural effusion or pneumothorax is present . There are no acute osseous abnormalities detected .
    OUTPUT:
    
Grossly unchanged lobulated left upper lobe mass . Emphysema . No focal consolidation to suggest pneumonia .