Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral images of the chest . There are low lung volumes with associated bronchovascular crowding . Again seen is an apparent nodular opacity in the right uper lobe , which appears to have slightly increased in size in the interval . The lungs are otherwise clear . There is no pleural effusion or pneumothorax . The cardiomediastinal silhouette is unremarkable .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Slight interval increase in size of nodular opacity in the right upper lobe . Lordotic chest radiographs are recommended to help determine if this represents a pulmonary nodule or a bone island . Updated findings were communicated via the ED ___ Nurses at 9 :39 a .m . on ___ .