Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal contours are normal . New 16 mm nodule projecting over the right 8 rib warrants further evaluation with CT . There is no pneumothorax or pleural effusion . There are severe degenerative changes in the thoracic spine . rounded opacity projecting posteriorly over a mid thoracic vertebral bodies is of unclear location could be in the lung or in the spine .
    OUTPUT:
    
New right upper lobe nodule warrants further evaluation with CT . In that exam , opacity projecting in the mid posterior vertebral bodies also can be evaluated .