Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs were obtained . Bilateral hila remain elevated secondary to extensive scarring and fibrosis at the lung apices . The wall and mural nodule of a left apical mycetoma has become more radiopaque compared to prior exams in ___ and ___ . Cystic spaces at the right apex are similar in appearance . No new nodule , consolidation , effusion , or pneumothorax is present . The heart is not enlarged .
    OUTPUT:
    
Increased opacity of the rim and mural component of left apical mycetoma .