Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The Cardiac size is normal . New density in the retrosternal clear space suggests the presence of an anterior mediastinal lesion , of note in prior CT there were enlarge lymph nodes in this location . The pulmonary vasculature is normal . The lungs are clear . There is no pleural effusion or pneumothorax . Basilar atelectasis is noted . Several wedge shaped compression fractures are long standing
    OUTPUT:
    
No acute cardiopulmonary abnormality . Density in the retrosternal space suggests the presence of an anterior mediastinal lesion . CT is recommended for further evaluation