Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is again mildly enlarged . The mediastinal and hilar contours appear unchanged . A band - like opacity projecting over the left lower lung , within the lingula has partly resolved . There is also right perihilar opacity suggesting atelectasis or scarring predominantly in the right middle lobe , which is fairly similar and possibly of longer chronicity . Calcifications are present within the right breast . A pleural effusion has decreased in the right hemithorax . The lateral view indicates small subpulmonic bilateral pleural effusions on this examination . The lungs are hyperinflated . A faint nipple shadow can be preserved on the right side . The bones appear demineralized . Moderate anterior osteophytes are present along the mid thoracic spine .
    OUTPUT:
    
Improving right - sided pleural effusion and bibasilar atelectasis . Hyperinflation . No definite evidence for acute disease .