Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior study , no significant changes . The large left pleural effusion with overlying atelectasis and obscuration of the left heart border , consistent with known chronic aspiration , is unchanged . Right lower lobe rounded atelectasis and small pleural effusion , seen on the CT from ___ , are unchanged . Mild vascular congestion is present . No new focal consolidation concerning for pneumonia . Of note , there is a spiculated left upper lobe opacity present on the CT from ___ but not seen in ___ .
    OUTPUT:
    
1 . No new focal consolidation concerning for pneumonia . 2 . Spiculated left upper lobe opacity was present on the CT chest from ___ , but not on the CT ___ . Follow CT chest to resolution is recommended in 3 months .