Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . The lungs are clear without focal consolidation , pleural effusion , or pneumothorax . There is linear scarring in the right middle lobe . Heart size is normal . Mediastinal silhouette and hilar contours normal . There is a 4 mm well - circumscribed density projecting over the right first rib , which may be a calcified granuloma or within the bone .
    OUTPUT:
    
1 . Clear lungs . Normal heart size . 2 . 4 mm right upper lung density may be in the bone or calcified granuloma . Recommend apical lordotic views to assess location of lesion if there is no prior imaging already documenting stability . Findings and recommendations discussed with Dr . ___ by phone at 3 : 15 pm ___ .