Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Left chest wall pacemaker leads are unchanged in position ending in the right atrium and right ventricle . Heart size is top normal and unchanged . There is no focal consolidation . A right pleural effusion could be moderate in size if there is a subpulmonic component , which is suggested by the diaphragmatic contour . No left pleural effusion and no pneumothorax . Pulmonary vasculature is normal . A 1 .0 cm nodule projecting over the anterior second rib is unchanged from ___ but not clearly seen on ___ . Degenerative change is noted in the spine .
    OUTPUT:
    
1 . Right pleural effusion with suggestion of subpulmonic component . A lateral decubitus film could be performed to better quantify the amount of fluid . No pulmonary edema or pneumonia . 2 . 1 .0 cm nodular opacity projecting over the right anterior second rib . ___ degree shallow oblique radiographs are recommended to distinguish a bone island in the rib from a lung nodule . Findings entered into the radiology critical results dashboard for communication to the ordering provider ___ ___ : 32 am on ___ .