Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette size is normal . The patient is status post esophagectomy and gastric pull - through as well as right upper and middle lobectomies with expected postsurgical changes noted in the right hilum . Volume loss is again seen right lung with rightward shift of mediastinal structures . Small right pleural effusion is similar compared to the previous exam . No new areas of focal consolidation are demonstrated . There is no pneumothorax . Partial resection of the right ___ posterior rib is again demonstrated .
    OUTPUT:
    
No interval change from the prior radiograph with postsurgical changes from prior right upper and middle lobectomies and gastric pull through and small right pleural effusion . No new areas of focal consolidation identified , and no pulmonary edema is present .