Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild enlargement of the cardiac silhouette is unchanged with dense mitral annular calcifications again noted . Mediastinal and hilar contours are similar with leftward shift of mediastinal structures again noted . Lungs are hyperinflated with emphysematous changes visualized predominantly in the upper lobes . Mild pulmonary edema is present . Patient is status post left upper lobectomy and post wedge resections in the right lung . Spiculated opacity within the periphery of the right upper lobe is similar to the previous chest radiograph measuring up to 3 .6 cm . No pleural effusion or pneumothorax is present . Atelectasis is noted within the right lung base .
    OUTPUT:
    
1 . Mild pulmonary edema and right basilar atelectasis . 2 . Unchanged spiculated opacity within the right upper lobe . 3 . Emphysema .