Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A Dobbhoff tube has been removed in the interim . There has been increased consolidation of the left lower lobe . There is unchanged prominence of the interstitium , likely reflecting chronic lung disease . Cardiac and mediastinal contours are normal . A calcified tortuous aorta is again noted .
    OUTPUT:
    
No substantial change in the opacity at the left lung base which may represent atelectasis , scarring or aspiration .