Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Elevation of left hemidiaphragm is as seen on prior . Right basilar and right apical surgical chain sutures are again seen . Lucency at the right lung base and coarsened interstitial markings are compatible with emphysema . Scattered nodular opacities again seen throughout the lungs not significantly changed since recent chest x-ray but progressed since ___ . No new confluent consolidation or large effusion . The cardiomediastinal silhouette is unchanged . Posterior left rib fractures are old .
    OUTPUT:
    
No acute cardiopulmonary process . Nonurgent chest CT is suggested to evaluate the bilateral nodular opacities present on recent chest x-ray but new since ___ .