Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size remains mildly enlarged . Atherosclerotic calcifications are noted at the aortic knob . The mediastinal and hilar contours are unremarkable . The pulmonary vasculature is not engorged . Calcified nodule in the left upper lobe and calcified left hilar lymph nodes are compatible prior granulomas disease . Right lower lobe mass appears grossly unchanged compared to the most recent PET - CT from ___ . No new focal consolidation , pleural effusion or pneumothorax is identified . Previously described ground - glass opacity in the right lower lobe and nodule in the left upper lobe seen on PET - CT are not well visualized on the current radiograph . Hypertrophic changes are again seen in the thoracic spine . Gastric lap band is in similar position .
    OUTPUT:
    
Grossly similar appearance of right lower lobe mass . No new focal consolidation .