Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again noted is an opacity in the lingula , better evaluated on dedicated chest CT on ___ and suggestive of a primary lung cancer . However , there is new opacity overlying the left lower lobe which is likely a small pleural effusion . Additionally , there is a new right lower lobe opacity suggestive of pneumonia . Previously noted multiple other nodules involving the left upper lobe , left lower lobe , right middle lobe , and right lower lobe are better delineated on the dedicated chest CT . Severe emphysema is again noted . Cardiomediastinal silhouette appears stable . Dextroscoliosis of the thoracic spine appears stable .
    OUTPUT:
    
1 . Again noted the lingular pulmonary mass suggestive of a primary lung cancer as well . Multiple other lung nodules are better delineated in dedicated chest CT from ___ . 2 . New right lower lobe opacity suggestive of pneumonia and new left lower lobe opacity suggestive of a small pleural effusion .