Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs remain hyperinflated . Rounded opacity projecting over the posterior right lower hemithorax , may be pleural - based . Further evaluation with chest CT is advised . Blunting of the right costophrenic angle which may be due to chronic changes , although trace right pleural effusion is not excluded . No left pleural effusion is seen . There is no focal consolidation in the left lung . Mildly increased interstitial markings bilaterally are stable . The prominence of the right hilum is again seen . Patient has known bilateral pleural plaques .
    OUTPUT:
    
1 . Hyperinflated lungs . 2 . Rounded opacity projecting over the right lower hemithorax posteriorly is likely pleural - based and new since the prior study . Chest CT is recommended for further evaluation .