Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion or pneumothorax . A nodular focus projecting over the left upper lung measures abotu 5 mm . The cardiomediastinal and hilar contours are normal .
    OUTPUT:
    
No evidence of acute cardiopulmonary process . Possible left upper lobe pulmonary nodule ; evaluation with chest CT is recommended when clinically appropriate . An email regarding the recommendation was sent to the ED ___ nursing group on ___ .