Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again in the left upper lobe / lingula there are parenchymal opacities ; however , in comparison to prior radiographs this appears to have slightly increased . While this could represent a increase in the patient 's known fibrosis and traction bronchiectasis , an overlying infectious process should be considered in the correct clinical setting . Cardiomediastinal silhouette and hilar contours are stable . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Increasing left upper lobe / lingular opacities concerning for either progression of the fibrosis or infectious process in the correct clinical setting . Either post treatment radiograph can be considered to evaluate for resolution , or a CT to evaluate for interval progression of the disease in the absence of clinical symptoms of pneumonia .