Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Overlying EKG leads are present somewhat limiting the evaluation . An area of scarring is again noted in the right upper lung , not significantly changed . Also noted is scarring in the right left and right lower lungs . Opacity in the left lower lung is slightly increased which raises potential concern for a superimposed pneumonia . No large effusion or pneumothorax is seen . The cardiomediastinal silhouette is normal . Imaged osseous structures are intact .
    OUTPUT:
    
Scarring in the lungs with subtle increased opacity in the left lower lung raising concern for superimposed pneumonia .