Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is normal in size . The aortic arch is partly calcified . There is no pleural effusion or pneumothorax . In addition to moderate pleural thickening at each lung apex , with patchy suspected calcification , along the lateral right lung apex , but also overlapping with the course of the right anterior lateral third rib , there is a nodular focus of about 1 cm . Mid thoracic interspaces are mildly narrowed .
    OUTPUT:
    
1 . No evidence of acute cardiopulmonary disease . 2 . Opacity at the right lung apex for which differential considerations include focal pleural thickening , a prior ribs injury but potentially a pulmonary nodule including the possibility of malignancy . When clinically appropriate chest CT evaluation is recommended . Findings discussed with Dr . ___ at 16 :00 by telephone while the patient was still in the emergency department .