Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette size is normal . Architectural distortion with increased opacity in the lung apices bilaterally and superior retraction of the hila suggests a chronic process . Mediastinal contours are unremarkable . No pleural effusion , pulmonary vascular engorgement , or pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
Architectural distortion with scarring and superior retraction of hila suggest a chronic process , such a sarcoidosis . Clinical correlation and comparison with prior radiographs is recommended , or further evaluation with CT can be obtained if prior studies are unavailable .