Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Asymmetric opacity in the right apex , has possibly increased since ___ , this may reflect superimposed acute pneumonia or increasing apical thickening . The lungs remain hyperinflated . No additional focal consolidation . No pulmonary edema . Cardiac size is top - normal and prominence of the hila are likely prominent pulmonary arteries . Healing rib fractures as well as right surgical neck fracture unchanged . Mild scoliosis convex to the right .
    OUTPUT:
    
Asymmetric opacity in the right apex , has possibly increased since ___ , although this may be related to patient rotation . This increase may reflect superimposed acute pneumonia or increasing apical thickening . If there is a strong clinical concern for malignancy , a CT thorax should be considered .