Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is continued right hilar enlargement , compatible with known lymphadenopathy , as seen on prior PET - CT and CT chest . Rounded opacity in the right mid lung correlates with a pleural lesion seen on prior CT . Scarring in the right apical lung . Lungs are otherwise grossly clear without new focal consolidation or pleural effusions . A left - sided ICD shows leads in unchanged position . Scarring and volume loss in the left lung is grossly unchanged , likely postsurgical .
    OUTPUT:
    
No acute cardiopulmonary process . Multiple findings relating to known history of lung cancer , as seen on recent PET - CT and CT chest .