Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A poorly defined lung nodule is again demonstrated in the periphery of the right upper lobe between the second and third anterior right rib levels . A second right upper lobe nodule is partially obscured by the overlying scapula and is located just below the right third anterior rib . A third nodule is seen centrally within the right lower lobe just lateral to the right heart border . These nodules were all better characterized on CT of the chest of ___ . They are not ideally assessed by chest radiography , but appear roughly similar compared to prior chest radiographs . Lungs are otherwise remarkable for combined pulmonary emphysema and pulmonary fibrosis . Cardiomediastinal contours are stable in appearance . The patient is status post previous median sternotomy and coronary artery bypass surgery . No pleural effusion or acute skeletal finding . Fractured inferior sternal wires are without change . A ventriculoperitoneal shunt catheter is noted .
    OUTPUT:
    
Three right lung nodules are grossly unchanged compared to prior chest radiographs , so CT would be much more sensitive for detecting interval growth as compared to prior chest CT of ___ .