Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is normal in size . The mediastinal and hilar contours appear within normal limits . There is no pleural effusion or pneumothorax . Density projecting along the anterior medial right first rib is probably bony in origin . There is no evidence for congestive heart failure or pneumonia .
    OUTPUT:
    
No evidence of acute cardiopulmonary disease . Apparent increased density along the medial aspect of the right first rib , probably bony spurring ; evaluation with a lordotic view is recommended to confirm and exclude a lung nodule .