Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single AP upright portable view of the chest was obtained . Fiducial marker is again seen overlying the right upper chest with underlying large opacity in this patient with known malignancy , grossly similar to prior . Increased interstitial markings in a background of pulmonary emphysema are again seen . The lungs remain hyperinflated . Patient 's known left - sided chain sutures are obscured by overlying external artifact . No definite new focal consolidation is seen . There is no large pleural effusion or evidence of pneumothorax . The cardiac and mediastinal silhouettes are stable . There is diffuse osteopenia . Sclerotic foci projecting over the left glenoid and partially imaged proximal left humerus are stable .
    OUTPUT:
    
No significant interval change .