Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size and cardiomediastinal contours are normal . There is mild hyperinflation , consistent with emphysema . Heterogeneous opacities in the lung apices are consistent with apical scarring . Similar smaller opacities are seen in the right upper and bilateral lower lobes . No lobar consolidation , pleural effusion , or pneumothorax .
    OUTPUT:
    
Prominent apical scarring and emphysema . No focal consolidation . In light of the abdominal findings , a chest CT is recommended for staging purposes .