Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Surgical clips project about the left lateral chest wall in the left breast , as before . The left lung shows similar mild volume loss with focal opacity at the medial left lung apex with a patchy distribution , similar to prior examinations allowing for differences in technique . The right lung remains clear . There is no pleural effusion or pneumothorax . The bony structures appear within normal limits .
    OUTPUT:
    
Similar left apical opacities . If more detailed comparison for change is needed clinically , then chest CT could be considered .