Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion or pneumothorax . Nodular opacity is again seen at the left lung base projecting over the left posterior eighth rib . The cardiomediastinal and hilar contours are normal .
    OUTPUT:
    
No acute cardiopulmonary process . Left base nodular opacity as seen on prior chest CT for which followup recommendations are as described on prior report .