Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained . Patient has history of a prior left lower lobectomy with post-surgical changes in the left hemithorax again noted , not significantly changed from the prior chest radiograph . There is volume loss with shift of midline structures to the left . There is persistent left pleural effusion with left perihilar consolidation likely indicative of scarring and fibrosis in this patient with history of prior XRT . The right lung is hyperinflated and clear . No right pleural effusion .
    OUTPUT:
    
Stable exam with post-surgical changes in the left lung without signs of consolidation .