Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are normal . Right upper lobe nodularity and mild pleural thickening is again noted . There may be associated bronchiectasis as well . No pleural effusion , pneumothorax or focal airspace consolidation to indicate an acute process . Heart is mildly enlarged but unchanged . There is no evidence for pulmonary edema . A tortuous and calcified aorta is again noted . Moderate to severe degenerative changes of the glenohumeral joints are present .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . As before , chest CT is recommended on a nonemergent basis to evaluate the right upper lobe findings .