Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Known left upper lobe nodular lesion has grown in size and has increased in density since ___ , re-emphasizing the concern for adenocarcinoma that was raised on previous chest CT examination from ___ . This nodule absolutely requires biopsy . The other nodules that were previously seen on chest CT are not visualized in this study . The subtle opacities in the right apex has decreased . There are no areas suspicious for pneumonia . There are no pleural effusions . Heart size is normal . Dense aortic and coronary calcifications are noted . Severe scoliosis is again seen . Cervical fixation hardware is partially imaged .
    OUTPUT:
    
1 . Compared to prior study from ___ , left upper lobe nodular lesion has grown in size and is more solid appearing , re-emphasizing the concern for adenocarcinoma . This nodule absolutely requires biopsy . 2 . No acute pneumonia .