Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate enlargement of the cardiac silhouette . The aorta is diffusely calcified . Elevation of the right hemidiaphragm is re - demonstrated with interposition of the colon between the diaphragm and liver . Lungs remain hyperinflated with emphysematous changes . Right infrahilar mass corresponding to known malignancy is re - demonstrated with adjacent opacities in the right lung base which may reflect areas of atelectasis or infection but are similar compared to the prior radiograph . Scarring in the left lung base is re - demonstrated . There are likely small bilateral pleural effusions . No pneumothorax is identified . There are no acute osseous abnormalities . Clip is demonstrated within the right upper quadrant of the abdomen . Chain sutures are noted within the right lung apex .
    OUTPUT:
    
Re - demonstration of right infrahilar opacity compatible with known malignancy with adjacent patchy opacity in the right lung base which may reflect areas of atelectasis though infection can not be excluded . Probable small bilateral pleural effusions . Emphysema .