Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Low lung volumes persists . Mild enlargement of the cardiac silhouette is again noted . The aorta is calcified . Mediastinal and hilar contours are unchanged . Crowding of the bronchovascular structures is re - demonstrated without overt pulmonary edema . Linear and patchy bibasilar airspace opacities likely reflect areas of atelectasis . No focal consolidation , pleural effusion or pneumothorax is demonstrated . Please note that assessment of the extreme lung apices is obscured due to the patient 's neck and soft tissues of this region obscuring this area . Degenerative changes are noted in the glenohumeral joints . Irregularity of the left scapula was not clearly noted on the prior study , and clinical correlation with any tenderness in this region is suggested .
    OUTPUT:
    
1 . Bibasilar atelectasis without focal consolidation . 2 . Irregularity of the left scapula , not apparent on the prior study . Clinical correlation with any tenderness in this region is recommended , and consider dedicated left shoulder radiographs for further assessment .