Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest were acquired . Chronic deformity of the upper right thorax relates to prior chest wall resection . Suture chain along the right perihilar region is consistent with prior right upper lobectomy , as is right apical scarring and superior retraction of the right hilus . There is also suture chain noted along the lateral aspect of the upper right lung . There is no focal consolidation . There is no definite right pleural effusion . Scarring is seen at the right lung base , not significantly changed . There is no left pleural effusion . No pneumothorax is seen . The heart size is normal . The mediastinal contour is unchanged . Multilevel degenerative changes of the thoracic spine are noted .
    OUTPUT:
    
1 . No acute cardiac or pulmonary process . 2 . Chronic post - surgical changes of the right lung and chest wall , as described above .