Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Lungs are hyperinflated . Biapical pleural parenchymal scarring noted . There is a subtle rounded density ( ~ 2 cm ) at the right lung apex . When compared to prior CT C - spine , similar nodular scarring noted . No convincing signs of a pneumonia edema effusion or pneumothorax . The heart size is top normal . Mediastinal contour normal . Imaged osseous structures are intact . No free air below the right hemidiaphragm is seen .
    OUTPUT:
    
Hyperinflated lungs . Nodular lesion at the right lung apex , similar to prior CT C - spine .