Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is borderline enlarged . In AICD is again noted , stable in appearance since the prior examination . Again again noted are stable bilateral pleural effusions . Opacity is again seen in the right upper and mid lung zones , which may be related to prior rib fractures though metastatic disease is not excluded . No pneumothorax is identified .
    OUTPUT:
    
Overall stable examination since prior . Again seen are opacities at the right upper and mid lung zones , which may be related to prior fractures , though metastatic disease is not excluded . If there is clinical concern , CT can be obtained for further evaluation .