Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Port -A - Cath terminates in the superior vena cava as before . The cardiac , mediastinal and hilar contours appear similar allowing for differences in technique including apparent postsurgical changes in the left hemithorax with volume loss . Hazy opacification of the left lower lung suggests postoperative change and scarring . On the right , there is a lung nodule that appears new since the prior radiographs , measuring 10 mm in diameter and also not apparent on the chest CT . Postsurgical changes in the right upper lobe are similar . In the right lower lobe , there is a patchy new basilar opacity worrisome for pneumonia . A second view includes the left costophrenic sulcus suggesting a similar pattern of pleural thickening . It is difficult to exclude a very small pleural effusion on the right .
    OUTPUT:
    
Findings worrisome for pneumonia in the right lower lobe as well as a new pulmonary nodule raising concern for increased metastatic disease .