Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is rotated . The left costophrenic angle not fully included on the image . Midline tracheostomy tube is seen . The right hemidiaphragm remains elevated and there is persistent blunting of the right costophrenic angle . Right base atelectasis / scarring is seen . Overall , the right lung is again seen to be volume than the left . No definite focal consolidation is seen on the left . The cardiac and mediastinal silhouettes are grossly stable . The bones are diffusely osteopenic .
    OUTPUT:
    
Patient rotated . Left costophrenic angle not fully included on the image . Midline tracheostomy tube . Right hemi diaphragm remains elevated and there is persistent blunting of the right costophrenic angle . Right base atelectasis / scarring again seen ; right base opacity is increased as compared to the prior study which could be due to increased atelectasis , however , underlying consolidation is difficult to exclude .