Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal contours continue to demonstrate marked widening which has been stable over multiple prior exams and appears to be lipomatous deposition as confirmed on prior chest CT . There is increasing wedge - shaped opacity involving the left lower lung , or possibly the lingula . This may represent a consolidation , infarct , or area of small pleural effusion . There is no pneumothorax .
    OUTPUT:
    
Wedge - shaped left lower lung or lingular opacity ; consider upright chest radiograph to delineate pleural effusion from consolidation or infarct ; findings discussed with ___ at 11 : 17 am on ___ by ___ over the phone .