Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Volume loss in the left hemithorax with elevation of the left hemidiaphragm . Surgical clips are also seen . These findings suggest left sided likley lower lobectomy . There is opacity at the left costophrenic angle laterally and posteriorly potentially due to scarring or small effusion . There is a nodular opacity projecting over the right lung apex which could be confluence of shadows of the anterior second rib and scapula . Focal opacity at the right lung base as well abutting the diaphragm . Elsewhere , the lungs are clear . The cardiomediastinal silhouette is within normal limits . No acute osseous abnormality is identified .
    OUTPUT:
    
Probable prior left lower lobectomy . Focal opacity at the right lung apex potentially confluence of shadows but repeat with including apical lordotic view is suggested to further characterize . Or comparison with priors , presumably performed elsewhere suggested for this and the right basilar opacity . Findings discussed with Dr . ___ at time of interpretation .