Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest were provided . Emphysema is noted with a right upper lobe opacity with adjacent scarring . This opacity pas persisted since prior exam from 2 months earlier . CT is recommended to exclude underlying mass . Emphysema is noted . No effusion or pneumothorax . Cardiomediastinal silhouette is normal . Bony structures are intact . Clips in the right breast noted .
    OUTPUT:
    
Emphysema with nonresolving right upper lobe opacity for which CT is recommended to further assess .