Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There remains marked left upper lobe volume loss in association with traction bronchiectasis , parenchymal scarring , architectural distortion and asymmetrical left apical thickening . In the setting of scattered calcified granulomas in both lungs , this is most likely the sequela of the provided history of previous granulomatous infection . Appearance of the lungs is otherwise similar to the prior exam except for a 1 cm well - circumscribed rounded opacity in the right upper lung at the level of the fifth posterior rib , not clearly seen on the prior exam . Heart size remains normal . There is no evidence of pleural effusion . .
    OUTPUT:
    
Findings consistent with sequelae of previous granulomatous infection . Apparently new 1 cm nodular opacity in right upper lung .