Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low with small bilateral pleural effusions and associated atelectasis . Median sternotomy wires are intact . Opacity overlying the right clavicular head is not seen on priors . There is no pneumothorax .
    OUTPUT:
    
Right apical opacity . Apical lordotic views are suggested for further evaluation . Right pleural effusion .