Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are stable . There is no pleural effusion or pneumothorax . Chain suture material along the left mediastinum is consistent with prior left lobectomy . A soft tissue density in the right upper lobe with a fiducial marker in place is consistent with known malignancy , not definitely changed since the most recent prior chest radiograph . Increased interstitial markings and background emphysematous changes are again noted . There is no new focal consolidation . Sclerotic lesions in the left glenoid and humerus are again seen , not completely evaluated on the current study .
    OUTPUT:
    
No acute cardiopulmonary process . Right upper lobe density , grossly unchaged since the prior study . Other findings as above .