Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are well - expanded and clear . Left apical pleural thickening may represent sequela of old infection , such as tuberculosis . Heart is not enlarged . Aorta is mildly tortuous . No pneumothorax , pleural effusion , or consolidation .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Left apical pleural thickening could be the result of old infection , such as tuberculosis , however comparison with prior studies and inquiry into referable symptoms of chest wall invasion are recommended to assess possible malignancy .