Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Again seen is extensive scarring and bronchiectasis in the left upper lobe without significant interval change consistent with history of chronic tuberculosis . Left mid lung chronic atelectasis / scarring again seen . Evidence of mediastinal / hilar calcified nodes is also consistent with prior granulomatous disease as well as multiple calcified granulomas . In the interval since the prior study , there has been development of a right upper to mid lung opacity , could relate to infection ; however , underlying pulmonary nodule may be present and further evaluation with nonurgent chest CT is advised . No pleural effusion or pneumothorax is seen . Cardiac and mediastinal silhouettes are stable . No evidence of free air is seen beneath the diaphragms .
    OUTPUT:
    
Chronic changes in this patient with history of chronic tuberculous disease . 1 .3 x 1 .7 cm ovoid opacity in the right upper to mid lung , not definitively seen on the prior study , could be due to consolidation or underlying pulmonary nodule . Findings suggest further evaluation with chest CT .