Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided pacer device is noted with single lead terminating in the region of the right ventricle , unchanged . Heart size is normal with coronary artery stent again noted . The mediastinal and hilar contours are similar . No pulmonary vascular congestion is present . Lungs are hyperinflated with severe emphysematous changes re - demonstrated . Blunting of the right costophrenic sulcus is similar . Right - sided Morgagni hernia is again noted containing bowel loops , better assessed on the previous CT chest , and accounts for the right basilar opacity anteriorly . No new focal consolidation , pleural effusion or pneumothorax is otherwise demonstrated . Multiple compression deformities within the imaged thoracolumbar spine are unchanged . Multiple clips project over the right lung base and the right upper quadrant of the abdomen .
    OUTPUT:
    
Re - demonstration of right sided Morgagni hernia containing loops of bowel accounting for the right basilar opacity anteriorly . Severe emphysema . No new focal consolidation .