Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without focal consolidation . Nodular opacity projecting over the right lung base is most likely a nipple shadow . There is no effusion . The cardiomediastinal silhouette is normal . Hypertrophic changes are noted in the spine .
    OUTPUT:
    
No acute cardiopulmonary process . Nodular opacity over the right lung base is most likely nipple shadow however repeat with nipple marker is suggested .