Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated as on prior . The degree of right apical opacity has increased since ___ . Linear opacity extending from the right hilum superolaterally may be due to atelectasis or scarring and is new from prior . At the lateral aspect of the scarring / atelectasis is new subtle focal opacity . Right upper lobe fiducial marker is again noted . The cardiomediastinal silhouette is within normal limits . No acute osseous abnormalities . Old left rib fractures are again noted .
    OUTPUT:
    
More dense opacity at the right lung apex appears to have progressed since prior chest x-ray . Additional subtle opacity at the right upper lung laterally which could be seen in the setting of pneumonia although additional follow - up of this region is suggested as well .