Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest were provided . Calcified pleural plaque is noted , which may account for the scattered opacities within both lungs . The lung volumes are low , which limits the assessment . Given the rounded appearance of a lesion projecting over the right mid-to - upper lung , a CT is needed to ensure the aforementioned lesions represent pleural calcified plaque . There is mild bibasilar atelectasis and bronchovascular crowding without discrete evidence for pneumonia or overt CHF . No large effusions or pneumothorax seen . Midline sternotomy wires are noted . There is a prosthetic cardiac valve . The heart size and mediastinal contour appear within normal limits . No acute bony injuries .
    OUTPUT:
    
Scattered calcified pleural plaque , likely accounts for the rounded and vague opacities projecting over both lungs . Recommend CT to confirm , on a non-emergent basis .