Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral view of the chest compared to prior chest x-ray from ___ and chest CT from ___ . Postoperative changes of left upper lobectomy are seen with left hemithorax volume loss and elevation of the hemidiaphragm as well as surgical chain sutures in the suprahilar region . There is increased nodular opacity in the postoperative bed , which was more clearly delineated by recent CT as suspicious for recurrent disease . The lungs are otherwise clear . Cardiomediastinal silhouette is unchanged . Osseous and soft tissue structures are unremarkable .
    OUTPUT:
    
No acute cardiopulmonary process . Findings again suspicious for recurrent disease abutting the surgical chain sutures of the left upper lobectomy .