Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are moderately well inflated . There is unchanged right apical opacity with a surgical clip overlying it . No pulmonary edema . No pleural effusions . Unchanged cardiomegaly . Multiple right - sided old healed rib fractures noted .
    OUTPUT:
    
1 . There is an unchanged right apical opacity corresponding to the known adenocarcinoma with a single fiducial marker within it . 2 . No pulmonary edema .