Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Fibrotic changes with reticulation and honeycombing , most pronounced at the lung bases are again seen and are stable when compared to prior chest radiograph from ___ . There is redemonstration of emphysematous changes . Increased left basilar opacity with blunting of the costophrenic sulcus could suggest a small pleural effusion and adjacent atelectasis . There is no overt pulmonary edema . There are no other areas of new focal opacification or pneumothorax . Chain sutures are noted within the left upper lobe , compatible with prior wedge resection . Tracheomegaly is again demonstrated . There are no acute osseous findings .
    OUTPUT:
    
Probable small left pleural effusion and left basilar opacity likely reflecting atelectasis , though assessment is difficult given pre-existing chronic fibrotic changes in the lung bases . No overt pulmonary edema .