Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A heterogeneous right apical lung opacity is better characterized on concurrent CT cervical spine examination . There is blunting of the bilateral costophrenic angles suggestive of small effusions and probable underlying atelectasis . The remainder of the lungs appear clear . The patient is rotated , making assessment of mediastinal contours difficult . Moderate cardiomegaly is unchanged . Healed bilateral rib and humeral neck fractures are again noted . There is no pneumothorax . Surgical clips project over the left upper quadrant . Fracture median sternotomy wires appear unchanged from prior . Degenerative changes of the thoracic spine are similar to prior .
    OUTPUT:
    
1 . Heterogeneous opacity in the right lung apex , better seen on concurrent cervical spine CT . Followup dedicated chest CT is recommended to ensure resolution . 2 . Probable small bilateral pleural effusions and atelectasis 3 . Unchanged moderate cardiomegaly