Hi & Welcome. Suggestive of tuberculosis of the lungs. Incomplete data like age, any symptoms or lab tests done. Pleurodiaphragmatic adhesions are actually scar tissues that has occurred between the pleura (lining overlying the lung) and the diaphragm (powerful muscle that moves to make us breathe). This may be because of a prior infection, surgery, pneumothorax, etc. However, with the presence of opacities in the right apex it is suggestive of tuberculosis infection. Consult your treating physician for proper check up which also includes various tests like CBC, ESR, Sputum for AFB, CT Scan, IgG and IgM may be performed to confirm the diagnosis of tuberculosis or other conditions. Hope this will help.