Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . There is a right apical bulla with associated pleural thickening . There is also slight asymmetry in the right infrahilar region with a confluent opacity which may be due to confluence of vessels . The cardiac silhouette is normal . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
1 . Hyperinflated lungs . 2 . Right apical bulla with adjacent asymmetrical right apicolateral pleural thickening . Given the patient 's risk factor for lung cancer , a chest CT is recommended for further evaluation to exclude an apical mass . 3 . Asymmetry of the right infrahilar region , possibly due to confluence of vessels . This can also be assessed at the time of chest CT to exclude a mass lesion .