Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are mildly hyperexpanded and hyperlucent with flattening of the diaphragms . Increased opacification of the upper lobes , more so on the right , is demonstrated and may reflect radiation change or other parenchymal abnormality . No focal consolidation , edema , effusion , or pneumothorax . Blunting of the left costophrenic angle may suggest pleural thickening and / or scarring . The descending aorta slightly tortuous or ectatic . Diffuse calcifications of the trachea mainstem bronchi are within normal limits for the patient 's age . Post - surgical changes in the upper mediastinum may reflect possible prior surgery , perhaps thyroid . The heart size is normal . Moderate degenerative changes of the visualized right AC joint is noted .
    OUTPUT:
    
1 . No focal pneumonia or heart failure . 2 . Asymmetric increased upper lung opacities , greater on the right - recommend further evaluation with a dedicated chest CT .