Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is top size normal . The lungs are hyperinflated consistent with emphysema . The frontal view demonstrates a 1 .2 cm nodular opacity projecting over the right upper lobe , not significantly changed in size from ___ . As before , there is a 2 .5 cm nodule projecting over the mid thoracic spine seen best on the lateral view , also unchanged from the prior radiograph . Increased density at the apex of the right lung is consistent with a large consolidated mass lesion with punctate calcification , better appreciated from CT in ___ . There is no evidence of pneumothorax or pleural effusion . No new focal consolidation is identified .
    OUTPUT:
    
Multiple pulmonary nodules as described above are grossly stable from ___ chest radiograph . Consider nonurgent chest CT for further evaluation when clinically indicated of multiple pulmonary nodules . No acute intra thoracic process identified .