Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . No prior . The lungs are slightly hyperinflated with flattening of the diaphragms . There is blunting of posterior costophrenic angles compatible with effusions . There is also increased opacity which is pleural - based in the right hemithorax , potentially due to pleural thickening or loculated effusion . Clear delineation of any underlying parenchymal abnormalities is limited secondary to this opacity . The left lung is grossly clear . Cardiac silhouette is within normal limits for technique . Postoperative changes with median sternotomy and mediastinal clips are noted . Dual - lead pacing device is seen with tips in the right atrium and right ventricle . Multiple old bilateral rib fractures are identified . Surgical clips project over the left axilla . IVC filter seen within the mid abdomen . Compression deformities of the lower thoracic spine are noted .
    OUTPUT:
    
1 . Increased opacity which appears pleural - based in the right suggestive of possible effusion which may be loculated or pleural thickening . This may obscure changes in the underlying parenchyma . Correlation with old films would be of use should they become available . 2 . Compression deformity in mid thoracic spine , the acuityl of which is uncertain .