Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Comparison is made with the next preceding similar study of ___ . Heart size is at the upper limit of normal variation , but unchanged in comparison with the preceding examination . Unchanged appearance of thoracic aorta , no new mediastinal abnormalities are seen . Right - sided hemithorax comparably small in volume related to previous right upper lobectomy with scar formations surrounding the apical area . Pleural scars also blunt the right lateral pleural sinus and exist along the right lower lateral chest wall . In the left hemithorax , no pulmonary vascular congestion can be identified . A previously identified 7 mm diameter rounded lesion overlying the second anterior intercostal space laterally appears unchanged . It has not increased in size and there are no new additional round lesions that are suggestive for pulmonary secondary metastasis in this elderly patient with clinical history of renal cell carcinoma .
    OUTPUT:
    
Stable chest findings , no new metastasis - suspected lesions and no new signs of CHF or acute pulmonary infections .