Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest were acquired . The lungs are clear . The heart size is normal . The mediastinal contours are normal . There are no pleural effusions . No pneumothorax is seen . A 3 .0 x 1 .6 cm lobulated opacity projecting over the left supraclavicular region was seen to be a skin lesion on prior CT from ___ . Multilevel degenerative changes of the thoracic spine are noted .
    OUTPUT:
    
1 . No acute cardiac or pulmonary process . 2 . 3 - cm lobulated opacity projecting over the left supraclavicular region , seen to be a skin lesion on prior CT . Correlation with physical exam is recommended .