Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest show interval fiducial placement within a small pulmonary mass in the left lower lobe . A small left apical pneumothorax is present which is new from the preceding studies . A large spiculated mass with a central fiducial projects over the right upper lung . No large pleural effusion or focal consolidation is present . Opacification extending along the right mediastinum is unchanged and related to known gastric pull - through for esophagectomy of prior esophageal carcinoma . Left mediastinal surgical clips are unchanged . The cardiomediastinal silhouette is within normal limits and unchanged .
    OUTPUT:
    
Small left apical pneumothorax , status post fiducial placement within left lower lobe pulmonary mass . Findings were communicated by Dr . ___ to Dr . ___ by page at 16 :46 p .m . on ___ .