Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen are the multiple punctate calcifications in the lower lobes left greater than right . The right - sided PICC line is unchanged with tip at the cavoatrial junction . There is some increased hazy opacity over the left lower lobe that could represent an early infiltrate
    OUTPUT:
    
Question acute on chronic changes in the left lower lobe . Recommend clinical correlation and followup