Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right upper lobe demonstrates a sclerotic reaction likely at the first rib . This appears to have been stable compared to multiple prior exams dating back to ___ . However , to delineate if this is truly at the rib or intraparenchymal , would recommend additional apical lordotic views for further evaluation . There is mild bibasilar atelectasis ; otherwise , no focal consolidations are seen . There is no pleural effusion or pneumothorax . The heart size is stable . The hilar and mediastinal contours are unremarkable .
    OUTPUT:
    
There is a sclerotic lesion at the right upper lobe which appears to have been stable compared to multiple prior exams dating back to ___ . However , to truly delineate if this is intraparenchymal or part of the rib , would recommend apical lordotic views .