Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . Compared with the most recent examination there has been interval accumulation of a small to moderate right - sided pleural effusion . Linear markings at the right lung base likely represent atelectasis versus scarring . A right small apical pneumothorax persists , with concurrent pleural thickening and pleural calcification likely sequela of prior insult . Left apical calcification and scarring is also present , stable . The left lung is clear . There is no left - sided effusion . No pneumothorax . Cardiac size is top - normal . The aortic valve is replaced . Sternotomy wires are intact
    OUTPUT:
    
Interval accumulation of a small to moderate right - sided pleural effusion with associated right basilar atelectasis / scarring . Otherwise unchanged appearance of the lungs with a small right apical pneumothorax with associated pleural thickening and pleural calcification . Left apical calcified pleural plaque . No opacity suggestive of pneumonia .