Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac leads are contiguous with a generator projecting over the left chest . The calcified soft tissue mass at the right costophrenic angle is grossly unchanged from ___ . Cardiomegaly is moderate . Nodular pleural thickening at the right apex could be a mass . A rounded density projecting over the medial right may lie outside of the lung fields . Additional tiny rounded densities projecting over the right midlung are incompletely characterized on this single view . There is no pneumothorax . Possible small right pleural effusion
    OUTPUT:
    
1 . Several rounded , scattered densities projecting over the right lung and pleural nodule at the right lung apex are incompletely characterized and if clinically indicated a CT is recommended for further characterization . 2 . Moderate cardiomegaly . No pulmonary edema . 2 . The peripherally calcified soft tissue lesion at the right costophrenic angle is unchanged grossly from ___ . 3 . No evidence of pneumonia .