Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Known right lower lobe recurrent tumor is again seen with fiducial in place and opacity abutting the right hilum . Lungs are otherwise notable for hyperexpansion and chronic changes compatible with emphysema . There is no new focal consolidation or effusion . The cardiomediastinal silhouette is within normal limits . No acute osseous abnormality is identified .
    OUTPUT:
    
Known right lower lobe recurrent tumor better seen on recent CT scan . No definite superimposed acute cardiopulmonary process .