Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are relatively hyperinflated No focal consolidation is seen . There is mild right apical pleural thickening . No pleural effusion or pneumothorax is seen . The cardiac silhouette is top - normal in size . The mediastinal contours are unremarkable . No pulmonary edema is seen . No evidence of free air is seen beneath the diaphragm .
    OUTPUT:
    
No acute cardiopulmonary process . Subtle opacity at the right lung apex may represent mild pleural thickening however , follow - up outpatient chest CT is recommended to exclude underlying pulmonary nodule .