Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is vague increased density projecting over the medial right apex , which is indeterminant but a nodule is possible at this site . Otherwise the lungs appear clear including unchanged but striking bilateral apical pleural thickening . The pulmonary vasculature is not engorged and there is no overt pulmonary edema . The cardiac silhouette is normal in size . The mediastinal and hilar contours are within normal limits . Deformities involving several right lateral ribs are unchanged and compatible with remote prior fractures .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Vague density at the medial right apex , potentially a lung nodule . Evaluation with chest CT is recommended when clinically appropriate . Preliminary interpretation placed to ED dashboard at 3 : 30 pm while the patient was still in the ER .