Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Study is somewhat limited by kyphotic positioning . Heart size is not enlarged . Mediastinal and hilar contours appear similar with unchanged left mediastinal opacity in the region of the AP window which correlates to a chronic soft tissue density lesion on prior CT . Bronchiectasis within the left upper lobe medially is again noted along with cystic lucencies , correlating to a multi - septated lesion seen on prior CT . Remainder of the lungs are clear without new focal consolidation . No pleural effusion or pneumothorax is present . Multiple clips are again noted within the upper abdomen . There are no acute osseous abnormalities .
    OUTPUT:
    
Similar chronic changes within the left upper lobe and left mediastinal region , previously characterized as potentially reflective of prior infection or a congenital cystic lesion . No new acute cardiopulmonary process .