Bilateral apical pleural thickening – means that both lung coverings at the top are thickened.

Fibrotic scarring, right upper lobe – right lung the top again shows that there has been damage in the past that has left scars this means that part of the lung won’t exand as much as it once did.

Atheromatous aorta – a normal finding in a person this age. There is cholesterol plaques in the aorta. the Aortic calcification is a progression of these cholesterol plaques which over time becomes hard with calcium deposists (hardening of the artreries).

The diaphragm and sulci are structures and are often referred to as seen to be sharp – normal anyway.

Is it bad ? Well not really. These are pretty normal findings in an older person who may have had some lung problems in the past.

It would be good to know why she had the x-ray, you say breathing problems. If this is the case they may be explained by the pleural thickening and fibriosis in that right lung.

It would be interesting to what her symptoms are and what medications she is taking.