Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral images of the chest . The left hemidiaphragm is elevated and there is a retrocardiac opacity , suspicious for pneumonia . Multiple small granulomas are noted in the left lung apex , which likley refelct old prior TB or other infectious process . There is no pleural effusion or pneumothorax . The cardiomediastinal silhouette is unremarkable .
    OUTPUT:
    
Retrocardiac opacity with left lower lobe volume loss , suspicious for pneumonia .