Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hyperinflated . There is no focal consolidation to suggest pneumonia . Calcified granulomatous nodular opacities are again seen , and are unchanged from prior . There is increased density in the extreme right medial apex , that was present previously , but is more conspicuous on today 's exam . Pleural thickening in this region is unchanged . Cardiomediastinal and hilar contours are unchanged . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
1 . Increased radiodensity in the extreme right apex , which may represent scarring , but is more conspicuous compared to prior radiographs , a CT chest can be obtained for further evaluation . 2 . No evidence of pneumonia .