Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is mild - to - moderately enlarged . There is unfolding and calcification of the thoracic aorta . A soft tissue density projecting over the medial right lung apex is uncertain in etiology but may be due to mild vascular congestion or atelectasis , but perhaps less likely pneumonia , in the right upper lobe . To some extent this may be more due to mediastinal widening on the right . Patchy opacity in the left lower lobe is likely compatible with atelectasis . Pulmonary vasculature does not appear particularly prominent . Bones appear demineralized .
    OUTPUT:
    
Questionable medial right upper lobe opacity versus mediastinal widening . When clinically feasible , repeat radiographs are suggested with PA and lateral technique to better assess . The main concern is a possible right perihilar consolidation which might indicate pneumonia in the appropriate setting . There is no generalized convincing evidence for fluid overload although the finding may alternatively indicate mild perihilar congestion change .