Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An opacity overlying the left first rib extends beyond the boundaries of the ribs in the left lung apex . There is vague airspace opacity newly noted at the right base . No effusion or pneumothorax is present . A large hiatal hernia is unchanged . The cardiac and mediastinal contours are unremarkable . Severe thoracic kyphosis and multilevel retrolisthesis are stable .
    OUTPUT:
    
Opacities overlying the left lung apex and right lung base are new since ___ . The right basilar lesion could represent a focal pneumonia . The left apical opacity may be a rib or apical lung process . A chest CT is recommended for evaluation of both findings . Findings were discussed with Dr . ___ ___ via telephone at approximately ___ .