Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable upright chest radiograph was obtained . Again seen is a right chest AICD with a single lead in the region of the left ventricle and a tracheostomy tube in stable position . There is been interval placement of a PICC with the tip at the level of the cavoatrial junction . There are emphysematous changes and scattered opacities representing scarring of the lungs , unchanged from prior exam . The left lower lobe consolidation is unchanged from radiograph on ___ . No new focal consolidation is seen . There is no new pleural effusion , pulmonary edema , or pneumothorax . The cardiomediastinal and hilar contours are unchanged . The bony structures are unremarkable .
    OUTPUT:
    
Similar findings to prior chest radiograph , with a left lower lobe consolidation , scattered opacities , and emphysematous changes .