Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Chronic changes noted at the right lung apex with scarring and volume loss noting rightward deviation of the trachea and superior retraction of the right hilum . Adjacent linear calcifications are noted as well as post thoracotomy changes with right fifth rib resection . The lungs are otherwise clear . There is no effusion or pneumothorax . The cardiomediastinal silhouette is stable . No acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary process . Chronic changes centered in the right lung apex , potentially scarring with suspected underlying resection .