Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is mildly enlarged and the mediastinal and hilar contours are unchanged . Patient is status post right upper and lower lobe wedge resections with volume loss again noted in the right lung and rightward shift of mediastinal structures . Patchy opacity within the right lung base is relatively unchanged and better demonstrated on the previous CT . Pulmonary vasculature is not engorged . No new focal consolidation or pneumothorax is present . Chronic pleural thickening / scarring accounts for the blunting of the right costophrenic angle . Cerclage wire projects over the posterior aspect of the cervical spine . No acute osseous abnormalities seen .
    OUTPUT:
    
No substantial interval change from the prior exams with postsurgical changes again demonstrated in the right lung . No new focal consolidation .