Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral radiographs of the chest . A right chest wall port is noted with the catheter in the upper - to - mid portion of the SVC . Again noted are chronic right pleural and parenchymal scarring with volume loss . Right - sided rib resection is also again seen . Compared to the prior radiograph , there are subtle new multifocal , reticulonodular opacities in both upper lobes . There is also a subtle new focal opacity in the left lower lobe .
    OUTPUT:
    
New upper - lobe predominant reticular and nodular pattern , which could represent an atypical or opportunistic pneumonia and less likely an asymmetrical distribution of pulmonary edema .