Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Linear opacity again extending from the suprahilar region on the right suggestive of scarring given persistence over time . There is more rounded opacity projecting over the anterior right fourth rib which had persisted over multiple exams and continually localizing to the rib suggesting prominent costochondral calcifications / degenerative changes . Left basilar atelectasis is noted . The lungs are otherwise clear . Cardiomediastinal silhouette is stable noting moderate cardiomegaly . Tortuosity of the descending thoracic aorta is noted with atherosclerotic calcifications . Degenerative changes are seen at the shoulders .
    OUTPUT:
    
No acute cardiopulmonary process .