Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is borderline enlarged . The aorta remains tortuous . Mediastinal contour is unchanged with rightward shift indicative of right - sided volume loss , a finding which is chronic . Hilar contours are unchanged and there is no pulmonary vascular congestion . Focal spiculated opacity in the right upper lobe was better assessed on previous chest CT . Previously noted ill - defined opacity surrounding this nodule seen on prior chest radiograph has resolved . Additionally , known spiculated nodule in the left lower lobe is better assessed on the prior CT and not well seen on the current radiograph . No focal consolidation , pleural effusion or pneumothorax is present . There are no acute osseous abnormalities demonstrated .
    OUTPUT:
    
Re - demonstration of spiculated nodular opacity in the right upper lobe , as seen on prior CT . Additional left lower lobe nodule seen on prior CT is not well assessed on the current radiograph . No acute cardiopulmonary abnormality otherwise demonstrated .