Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is lingular pneumonia with evidence of volume loss . This is unchanged from ___ . There may be tiny pleural effusions . There is no pneumothorax or vascular congestion . The heart size is within normal limits .
    OUTPUT:
    
Lingular pneumonia with evidence of volume loss concerning for an obstructive pneumonia . Recommend CT - Chest . The results of this study were discussed with the medicine team .