Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Mediastinal and hilar contours are unchanged . Multiple nodules are again seen within the anterior and middle mediastinum , not significantly changed from the prior exam , and some of which reflect calcified lymph nodes . Several chain sutures are noted projecting within the right upper lung field . There is associated volume loss in the right lung with elevation of the right hemidiaphragm . No focal consolidation , pleural effusion or pneumothorax is present . No acute osseous abnormalities are visualized .
    OUTPUT:
    
Unchanged nodular opacities within the anterior and middle mediastinum , some of which reflect calcified lymph nodes . Correlation with prior cross - sectional imaging is recommended . Postsurgical changes in the right upper lung field . No new areas of focal consolidation present .