Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low , causing bronchovascular crowding . There is mild streaky right basilar atelectasis . Otherwise , no evidence of focal consolidation , effusion , or pneumothorax . Asymmetric soft tissue opacity inferior to the medial right clavicle may simply be due to summation of tissues . The cardiomediastinal silhouette is unremarkable . The thoracic aorta is calcified and tortuous , with mild rightward effect on the mid to distal trachea .
    OUTPUT:
    
1 . Low lung volumes without focal consolidation . 2 . There is asymmetric soft tissue opacity inferior to the medial right clavicle . While this may be due to summation of normal structures , it is recommended that the patient return for apical lordotic radiograph for further evaluation in order to exclude a pulmonary nodule .