Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Two frontal images of the chest again demonstrate significant volume loss in the right pulmonary apex and thickened pleura . This could represent remote TB infection but is also concerning for a new neoplastic process . There is also some right upper lobe atelectasis and a small pleural effusion in the major fissure on the right . There are no major changes to the bilateral pleural effusions . Chest tube is seen again in place on the right . Cardiomediastinal silhouette is unremarkable .
    OUTPUT:
    
Marked volume loss in right apex which could be old TB but is concerning for a neoplastic process .