Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Mediastinal and hilar contours are unchanged , and known enlarged AP window lymph node is not well visualized on the current examination . Pulmonary vasculature is not engorged . Emphysematous changes are again noted with lung hyperinflation . Previously demonstrated spiculated nodule in the right upper lobe is also better appreciated on the prior CT examinations . No focal consolidation , pleural effusion or pneumothorax is present . No acute osseous abnormality is visualized .
    OUTPUT:
    
Spiculated right upper lobe nodule and enlarged AP window lymph node seen on previous CT and PET - CT are not well visualized on the current radiograph . No acute cardiopulmonary abnormality otherwise noted .