Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ICD device has 2 leads terminating in what appears to be the right atrium and right ventricle . The left hemidiaphragm has been elevated since radiograph dated ___ and is largely unchanged . There is no definite pleural effusion . There is no pneumothorax . The lung parenchyma is without consolidation , however a suspicious left mid lung nodule measures 5 mm as compared to 3 mm on prior examination ( ___ ) . There is moderate cardiomegaly .
    OUTPUT:
    
Suspicious left mid lung nodule measuring 5 mm as compared to 3 mm on prior examination dated ___ ; CT is recommended for characterization .