Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In the right upper lobe , there are several sutures and radiopaque clips along with volume loss and opacities , all consistent with scarring from prior surgery and radiation therapy . The left lower lobe has a very thin line extending caudally which is difficult to discern from a skin fold . Given the patient 's history of pain , repeat expiratory radiographs are recommended to rule out a pneomothorax . A Port - A - Cath terminates in the low SVC . There is no pleural effusion or pneumothorax , although again noted are severe emphysematous changes with hyperinflation of the lungs . No new focal consolidation is present .
    OUTPUT:
    
1 ) Small possibility of pneumothorax of the left lung . Given the patient 's clinically complaint , repeat expiratory and oblique views should be obtained to better evaluate this . 2 ) Post-radiation and surgical treatment changes in the right upper lobe . Discussed with ___ at 14 : 18 by ___ via telephone , 2 minutes after the initial discovery of the findings .