Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a rounded opacity in the right upper lobe , approximately 1 .8 cm . There is no effusion or pneumothorax . The pulmonary vasculature is within normal limits . There is partial visualization of anterior fusion hardware of the cervical spine . The heart size is magnified by portable technique , the mediastinal contours are unremarkable .
    OUTPUT:
    
Right apical rounded opacity concerning for infection or malignancy . Recommend repeat dedicated AP and lateral chest radiograph , or CT for further evaluation . These recommendations were discussed with Dr . ___ ___ the MICU at 7 :30 AM by phone .