Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is normal . The mediastinal and hilar contours are unchanged with extensive atherosclerotic calcifications of the thoracic aorta again noted . Cavitation with surrounding opacification in the right upper lobe with associated apical pleural thickening , architectural distortion and volume loss appears unchanged from the previous radiograph . Pulmonary vasculature is not engorged . Remainder of the lungs are clear without new focal consolidation . No pleural effusion or pneumothorax is identified . Remote left - sided rib fractures are again noted .
    OUTPUT:
    
Similar appearance of right upper lobe cavitary lesion with surrounding pleural thickening , opacification , architectural distortion , and volume loss . No new focal consolidation .