Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Lung volumes are low . Left basal opacity may represent atelectasis . There is coarsened interstitial markings which could reflect chronic lung disease . Curvilinear coarse calcification projecting over the heart likely corresponds with the mitral annulus . The heart size can not be reliably assessed due to low lung volumes . The mediastinal contour appears normal . There is an area of increased opacity at the right lung apex medially raising concern for underlying lesion versus vascular ectasia . Bony structures appear intact . Grossly unremarkable . Clips in the upper abdomen noted .
    OUTPUT:
    
1 . Right apical opacity , question vascular ectasia versus underlying lesion . 2 . Coarsened lung markings raise concern for interstitial lung disease . 3 . Calcification of the mitral annulus . Nonemergent CT is recommended to further assess . Limited exam given low lung volumes .