Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to prior chest radiograph from ___ , there is a persistent right apical triangular opacity which could be related to post - surgical changes . However , for complete evaluation , CT examination would be recommended . Lungs otherwise remain clear . There is tortuosity of the aorta . The heart is mildly enlarged . There is no pleural effusion or pneumothorax . Right PICC line has been removed . Note is made of a healing fracture in the left distal clavicle .
    OUTPUT:
    
Persistent right apical triangular opacity which could reflect scarring from prior surgery . However , further evaluation is recommended with CT . These findings and recommendations were discussed with ___ by ___ via telephone on ___ at 5 :00 p .m . , at time of discovery .