Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Decreased lung volumes are noted . The heart size is normal . The aorta is calcified , and the mediastinal contours are normal . Persistent right upper lobe volume loss , with > 2 cm width of right apical pleural thickening and reticulonodular parenchymal opacities . Subtle new right basilar opacity is also demonstrated .
    OUTPUT:
    
1 . Right apical pleural and parenchymal abnormalities may be the sequelae of prior granulomatous or other infectious process , but it is difficult to exclude an active process ( reactivation TB or scar carcinoma ) without more remote radiographs for comparison . CT is recommended for further characterization . 2 . Subtle right basilar opacity , which could reflect aspiration , atelectasis or early pneumonia . Findings were conveyed by Dr . ___ to Dr . ___ ___ telephone at 11 : 39 am on ___ , 5 minutes after discovery .