Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Mediastinal and hilar contours are unremarkable . Pulmonary vascularity is mildly engorged , appearing somewhat asymmetrically more so on the right . Right apical pleural thickening and scarring with associated calcification is re - demonstrated , likely reflective of prior post treatment changes from prior radiation therapy . Small bilateral pleural effusions , right greater than left persists . There are associated atelectatic changes in both lower lobes . Patchy ill - defined opacity within the right mid lung field with associated peribronchial cuffing is new compared to the prior CT , and could reflect an area of infection . There is no pneumothorax . Multiple clips are noted in the right axillary region compatible with prior lymph node dissection . Mild deformity of the right breast shadow is compatible with prior lumpectomy .
    OUTPUT:
    
1 . Patchy vague opacity in the right mid lung field with associated peribronchial thickening could reflect an area of infection . 2 . Mild pulmonary vascular congestion . 3 . Small bilateral pleural effusions , right greater than left with associated bibasilar atelectasis , not significantly changed . 4 . Unchanged right apical pleural thickening and scarring compatible with prior radiation changes .