Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest is compared to previous exam from ___ . Compared with prior , there has been interval improvement in aeration at the right lung base with more clear delineation of the right hemidiaphragm . There is persistent increased opacity in the left hemithorax with associated volume loss on this side , similar to CT scan from ___ . There is persistent obscuration of the left hemidiaphragm . Cardiomediastinal silhouette has not changed . Dual - lead pacing device is again noted as is a tracheostomy tube . Subluxation of the glenohumeral joints is again noted .
    OUTPUT:
    
Interval improved aeration at the right lung base . Persistent increased opacity involving majority of the left hemithorax silhouetting the left hemidiaphragm with likely volume loss . Overall , the findings have not significantly changed on the left since prior noting that infection can not be excluded . Please clinically correlate regarding the need for additional imaging .