Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There diffuse parenchymal changes throughout the lungs which involves the entire lung fields including the apices and bases as well . Moderate right - sided apical pneumothorax is noted . There is elevation of the minor fissure likely due to underlying parenchymal changes in the upper lobe and possible atelectasis . More confluent consolidation seen in the frontal view in the right mid lung could be due to a combination of atelectasis and chronic parenchymal changes . Cardiac silhouette is difficult to adequately assess given scoliosis and lack of visualization of the right heart border . No acute osseous abnormalities identified , and no displaced rib fractures on these non dedicated films .
    OUTPUT:
    
1 . Moderate right - sided pneumothorax . 2 . Fibrotic changes in the lungs . Without prior it is difficult to assess for superimposed acute process .