Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable supine view of the chest . Lung volumes are low . There is scarring in the right upper lobe likely related to old infection . Areas of presumed traction bronchiectasis in the lower lungs are seen medially which may also relate to chronic airways inflammation . A background of emphysema is suggested . The heart size is within normal limits . The mediastinal contour is grossly unremarkable . Old right rib deformities are re - demonstrated .
    OUTPUT:
    
No convincing evidence for pneumonia . Areas of scarring in the right upper lobe and medial lung bases , likely reflect chronic inflammation / infection . If there is strong clinical concern for acute intrathoracic process a CT may be obtained to further assess .