Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is rotated somewhat to the left . Re-demonstrated is a lateral left upper lung subpleural opacity . Evidence of medial left lung / paramediastinal radiation fibrosis is seen , better assessed on CT . The lungs remain hyperinflated , consistent with COPD . No definite new focal consolidation is seen . No pleural effusion or pneumothorax is seen . The cardiac and mediastinal silhouettes are stable .
    OUTPUT:
    
No significant interval change . CT is more sensitive in detecting / assessing pulmonary nodules .