Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is within normal limits . The aorta is tortuous and diffusely calcified . Mediastinal and hilar contours are grossly unchanged . No pulmonary vascular congestion is demonstrated . Triangular opacity within the right upper lobe measuring approximately 12 mm is more apparent than on the prior chest radiograph from ___ , but was seen in ___ . Tree - in - ___ nodular opacities seen in the right upper lobe on the recent CTA head and neck likely reflect small airways disease , but is not well assessed on the current radiograph . No new focal consolidation or pneumothorax is detected . Mild blunting of the right costophrenic sulcus may be due to chronic pleural thickening versus a trace pleural effusion . The osseous structures are diffusely demineralized . Multiple compression fractures within the mid and lower thoracic spine as well as the upper lumbar spine appear grossly unchanged . Remote left - sided rib fractures are also re - demonstrated .
    OUTPUT:
    
No substantial interval change from the most recent chest radiograph . Small airways disease seen in the right upper lobe on recent CTA head and neck is not well assessed on the current radiograph . Right upper lobe 12 mm triangular opacity is grossly unchanged from ___ , but should be further assessed with dedicated chest CT .