Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single supine portable view of the chest . There is increased opacity projecting over the left hilar region which could be due to parenchymal opacity or enlarged left hilum due nodes or enlarged pulmonary artery . The lungs are otherwise clear of focal consolidation . The cardiomediastinal silhouette is within normal limits for technique . Mid thoracic dextroscoliosis is identified . Rounded radiopaque density projects over the left upper quadrant . There is also increased lucency projecting below the right hemidiaphragm , some of which may be within bowel however there may also be component of free intraperitoneal air .
    OUTPUT:
    
Rounded radiopaque body projecting over the left upper quadrant . As this was not external to the patient on exem , it may be internal . Additional views may help further characterize . Increase lucency projecting over the right upper abdomen raising concern for free intraperitoneal air although some may be within interposed colonic loops additional imaging is suggested and can be performed with upright or lateral decubitus views va CT scan . Increased density projecting over the left hilum could be within the lung and represent parenchymal opacity versus enlargement of the left hilum from adenopathy or pulmonary artery . Additional imaging suggested when patient is amenable . Findings were discussed with Dr . ___ at 18 : 18 over the phone by Dr . ___ ___ min after time of discovery .