Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal opacity to suggest pneumonia is seen . No pneumothorax or significant pleural effusion is present . No pulmonary edema is seen . There are multiple calcified nodules consistent with prior granulomatous disease . However , a right upper lobe nodule measuring 9 mm is concerning . This previously measured 8 mm on the CT ___ ___ , though comparison is limited across these modalities . The heart size is top normal . There is tortuosity and calcification of the thoracic aorta . A left - sided dual - lead pacemaker is unchanged . The patient is status post median sternotomy . Surgical clips in the right upper quadrant are consistent with cholecystectomy .
    OUTPUT:
    
1 . No evidence of pneumonia . 2 . Right upper lobe nodule measuring 9 mm on this examination . This measured 8 mm on the prior CT , though comparison across modalities is limited . Given the concerning appearance , this nodule would be better followed by dedicated CT .