Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest . Bilateral calcified pleural plaques are identified . There is not definitely calcified opacity the right lung apex , some of which has a rounded configuration projecting over the lateral aspect of the right first rib . This may be due to chronic changes of the lateral first and second ribs as the superior margin of the second rib and inferior margin of the first rib are not well seen Elsewhere , the lungs are clear where not obscured by the calcified plaque . The cardiomediastinal silhouette is within normal limits . Atherosclerotic calcification noted at the arch . Median sternotomy wires and mediastinal clips are identified . No acute osseous abnormality is identified .
    OUTPUT:
    
Bilateral calcified pleural plaques . Asymmetric right apical density could be due to chronic changes of the right lateral first and second ribs although underlying parenchymal changes are also possible . Apical lordotic view should be performed to further characterize this finding . Findings discussed with Dr . ___ on ___ by Dr . ___ .