Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The hilar and mediastinal contours are normal . Severe bullous emphysema and lung inflation are redemonstrated . Again seen is subsegmental atelectasis / scarring in the left lingula . There is a stable left lower lobe nodule , unchanged from the prior exam . There is a new left apical small nodular opacity , for which additional evaluation is recommended . No pleural effusions or pneumothoraces are seen .
    OUTPUT:
    
1 . No acute abnormality to explain patient 's cough identified . 2 . New left apical nodule for which additional imaging evaluation is warranted with shallow oblique views . These findings were discussed with Dr . ___ at ___ :___am by Dr . ___ by telephone on the day of the exam .