Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs again demonstrate sternal wires , some of which are fractured but unchanged compared to prior chest radiograph . There is a normal cardiomediastinal silhouette . The lungs are fairly well - aerated . Again seen is bilateral asymmetric parenchymal abnormality , with a reticular appearance of the right hemi thorax , similar in appearance to multiple prior exams . A recurrent left lower lobe heterogeneous consolidation raises concern for recurrent aspiration pneumonia . There is also a somewhat more nodular focus just below the right clavicle . No pleural effusion or pneumothorax is seen .
    OUTPUT:
    
1 . Recurrent left lower lobe heterogeneous consolidation , concerning for recurrent aspiration pneumonia . 2 . Within a region of pre-existing scarring in the right upper lobe is a more focal nodular opacity just below the right clavicle , not fully evaluable on today 's exam due to AP projection and patient rotation .