Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: CARDIOMEDIASTINAL AND HILAR CONTOURS ARE WITHIN NORMAL LIMITS WITHOUT CHANGE . 13 MM NODULAR OPACITY IN THE LEFT APEX PARTIALLY IS PARTIALLY OBSCURED BY LEFT CLAVICLE AND IS NOT CLEARLY LOCALIZED ON THE LATERAL VIEW . LUNGS ARE OTHERWISE CLEAR AND THERE ARE NO PLEURAL EFFUSIONS .
    OUTPUT:
    
1 .3 cm left apical nodular opacity peer recommend initial further evaluation with apical lordotic chest radiograph to confirm and better localize this finding . If it is confirmed to be within the lung parenchyma , CT would be recommended to assess for possible lung neoplasm .