Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post right upper lobectomy with similar postsurgical changes the right hilum and right upper thorax . Heart size appears mildly enlarged but similar . The mediastinal and hilar contours are unchanged . There is no pulmonary vascular engorgement . Focal opacity within the peripheral right mid lung field corresponds to postradiation changes and known lesion as seen on the previous CT , not substantially changed from the previous radiograph . Known a spiculated lesion in the right lower lobe is better assessed on the prior CT . There is a persistent right subpulmonic effusion , moderate in size . No new focal consolidation , left - sided pleural effusion , or pneumothorax is apparent .
    OUTPUT:
    
No substantial interval change from the previous radiograph . Persistent moderate size right subpulmonic pleural effusion . Left mid lung field opacification is also grossly unchanged , compatible with known lesion and associated post radiation changes . Spiculated opacity in the right lower lobe is better assessed on previous CT .