Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient 's overlying chin partially obscures the lung apices . Given this , right apical opacity may relate to apical pleural thickening although a subtle underlying consolidation is not excluded . AP lordotic view would be helpful for further evaluation . No definite consolidation seen on the lateral view . There is no pleural effusion or pneumothorax . The cardiac silhouette is top - normal to mildly enlarged . Mediastinal contours are unremarkable . While the osseous structures of the spine are not well assessed , there appears to be possible subtle compression deformities , not well assessed . Degenerative changes are partially imaged at the shoulder joints .
    OUTPUT:
    
Patient 's chin partially obscures the lung apices . Right apical opacity may relate to apical pleural thickening although underlying consolidation is not excluded . AP lordotic view would be helpful for further evaluation and is recommended .