Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The frontal radiograph is little changed from ___ . The lateral view shows that the middle lobe is clear and there are new small regions of peribronchial opacification in one of the lung bases , overlying the spine , probably the left , and in the lingula , effectively obscured on the frontal view by scarring and a mediastinal fat pad . Upper lobe hypovascularity is probably due to emphysema , and pulmonary hypertension explains large central pulmonary arteries . Heart size is normal . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Dr ___ ___ findings and revision of preliminary interpretation witn Dr ___ by phone at 8 : 15 AM .