Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiograph demonstrates well expanded lungs . There is no focal consolidation with in the left lower lung . Prior seen left upper lobe two tubular opacities persist , largely unchanged since prior examination in ___ . In the setting of largely unchanged appearance , question bronchiectasis and impaction . The right lung is grossly clear . The cardiomediastinal and hilar contours are within normal limits . There is no pleural effusion , pneumothorax , or pulmonary edema . Eventration of the right hemidiaphragm is incidentally noted .
    OUTPUT:
    
Unchanged left upper lobe opacities conerning for impaction and bronchiectasis . Recommend Chest CT for further evaluation . These findings were communicated by email to Dr . ___ by Dr . ___ ___ unsuccessful attempt to call the physician ___ ___ : 20 on ___ .