Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is normal in size . There is patchy calcification along the aortic arch . There is no pleural effusion or pneumothorax . The chest is hyperinflated . Patchy opacities with a nodular configuration at each lung apex suggesting chronic scarring including at least one possible right apical lung of perhaps 12 mm . Nipple shadows are also visualized bilaterally .
    OUTPUT:
    
No evidence of acute disease . Hyperinflation . Nodular opacities at each lung apex including a possible discrete nodule at the medial right lung apex . Evaluation with chest CT is recommended when clinically appropriate as a baseline for follow - up . Correlation with prior radiographs , if available , is recommended to assess for stability of this appearance .