Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Normal heart size with mild tortuosity of the thoracic aorta . There is an approximately 5 mm nodule projecting over the ninth right posterior rib . No focal consolidation , pleural effusion or pneumothorax .
    OUTPUT:
    
1 . Approximately 5 mm nodule in the right middle lobe . Per requisition , patient with prior right middle lobe nodule on outside hospital CT which is not available currently for review . This size nodule is too small to be accurately characterized by radiograph , recommend correlation with CT for followup . 2 . No acute process to explain cough .