Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval removal of the are right apical chest tube . The right basilar chest tube appears unchanged in orientation in comparison to the prior chest radiograph . There is no pneumothorax . The left pleural effusion appears unchanged in size . The left basilar opacities have improved , however the right middle lobe opacity has worsened . There is a 9 mm radiodensity projecting over the right lower lung , which represents a calcified granuloma , and was visualized on the prior chest CT . Heart size is stable . The mediastinal and hilar contours are stable . The pulmonary vasculature is normal . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . Right basilar chest tube in appropriate positioning without evidence of pneumothorax . 2 . Worsening of right middle lobe opacity , which can represent pneumonia or atelectasis . 3 . Unchanged left pleural effusion .