Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Surgical clips are present along the mediastinum as before . The patient is apparently status post partial gastrectomy . The cardiac , mediastinal and hilar contours appear unchanged . The esophagus appears dilated with an air - fluid level , similar to prior findings . There is persistent patchy opacity in the right lower lobe which has improved somewhat since ___ , but with little if any change since the prior day . There is no pleural effusion or pneumothorax . There is similar moderate osteophyte formation along the mid thoracic spine .
    OUTPUT:
    
Similar appearance including slightly improved opacification in the right lower lung reflecting pneumonia seen on the prior CT . Marked dilatation of the esophagus with an air - fluid level as seen previously .