Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . As seen on the prior study , there is marked right apical scarring with upward retraction of the right pulmonary hilum and there is now tenting of the right hemidiaphragm . A more prominent rounded opacity in the right hilar region could relate to vascular structures although it is more prominent than on prior studies , an underlying lesion is not excluded and could be further evaluated on CT . Mild left apical scarring is seen . There is also some retraction of the left hilum upward . No large pleural effusion or pneumothorax is seen . No evidence of an acute fracture is seen although if there is high concern , dedicated imaging of the region of interest would be recommended .
    OUTPUT:
    
1 . Slight increase of prominence of the right hilar region which may be due to different position , patient is rotated to the right ; although underlying lesion not excluded . Suggest repeat PA and lateral views with patient in better positioning . Alternatively area could be further evaluated on CT . 2 . Marked right apical scarring again seen with retraction of the right hilum . 3 . No acute fracture seen . However , if high clinical concern , suggest dedicated imaging of the region .