Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Chronic changes are again noted in the lungs . There is opacity with associated volume loss of the right lung apex . Calcific density in the left midlung is also likely chronic . Vague nodular opacities seen throughout the lungs , left greater than right . Overall , the appearance has not demonstrated significant interval change since most recent exams . Cardiomediastinal silhouette is unchanged . Calcified subcarinal lymph node is seen . Radiopaque densities in the left supraclavicular region are again noted .
    OUTPUT:
    
Chronic changes in the lungs most notably at the right lung apex and left midlung . Other scattered nodular opacities have not dramatically changed since most recent exams and could also be chronic however superimposed acute process would be difficult to exclude .