Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation , edema , effusion , or pneumothorax . Small 1 cm round opacity projecting in the right infrahilar region more likely represents superimposed vascular and bony structures rather than a pulmonary nodule . Follow up imaging should be considered . The heart is normal in size . No acute osseous abnormality .
    OUTPUT:
    
No focal pneumonia . Right lower medial nodular opacity is felt to more likely represent vascular confluence rather than parenchymal mass . Followup imaging should be considered .