Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is normal . The aorta demonstrates diffuse atherosclerotic calcifications and mild tortuosity . The patient is status post esophagectomy and gastric pull - through with similar appearance of the mediastinal and hilar contours . Fiducial marker is noted within a right apical lesion with surrounding opacity compatible with post treatment changes , better assessed on the prior CT and grossly unchanged . Lungs remain hyperinflated without new focal consolidation , pleural effusion or pneumothorax identified . Hypertrophic changes are noted in the thoracic spine . Post thoracotomy changes of the right rib cage are again noted along with remote left - sided rib fractures .
    OUTPUT:
    
No substantial interval change from recent chest CT . Opacity about a fiducial marker in the right apex likely reflects post treatment changes . Status post esophagectomy and gastric pull - through . No new focal consolidation .