Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart appears mildly enlarged . The aortic arch is partly calcified . There is similar slight relative elevation of the left hemidiaphragm . Streaky opacity suggests minor atelectasis in the lingula , little if at all changed . There is a nodular focus projecting over the left costophrenic angle possibly a nipple shadow . Otherwise , the lung fields appear clear . Moderate degenerative changes are noted along the mid thoracic spine , as before , including large anterior osteophytes along several adjacent levels .
    OUTPUT:
    
1 . No evidence of acute cardiopulmonary disease . 2 . Small nodular focus projecting along the right costophrenic sulcus , possibly a nipple shadow . When clinically appropriate , repeat PA view without and with nipple markers is suggested to reassess . An email regarding the follow - up recommendation was sent to the ED QA nursing group .