Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . The lungs are hyperinflated . There is right apical scarring . Large , peripheral opacities in the lung apices , right larger than left with focal calcifications in the right opacity and right hilar retraction . A large apparent lung nodule at the upper pole of the right hilus could be a healed rib fracture instead . Additionally , there is a diffuse interstitial abnormality with more confluent opacity at the right lung base . There is no pleural effusion or pneumothorax . Heart size is normal .
    OUTPUT:
    
The findings are most likely chronic and may represent progressive massive fibrosis , which can be seen in ___ pneumocosis with or without silicosis as well as sarcoidosis . Recommend correlation with patient history and prior radiographic studies . If we are unable to show that this is chronic and stable from prior radiographs , CT would be helpful for further evaluation . Updated findings and recommendations after attending review discussed with Dr . ___ ( ED ) at 8 : 45 am on ___ .