Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tip of left PICC is in the junction of the left subclavian and left brachiocephalic vein at the medial aspect of the left clavicle . Exam is otherwise remarkable for an approximately 2 cm diameter poorly defined nodular opacity at the level of the third anterior right rib . Two adjacent poorly defined nodular opacities are present just above and below this level as well . Lungs otherwise appear clear . Heart size , mediastinal and hilar contours are within normal limits .
    OUTPUT:
    
2 cm poorly defined nodular opacity in the right upper lobe with two adjacent smaller poorly defined opacities . Although difficult to definitively localize within the lungs on a single view , this finding raises the concern for either a primary lung malignancy or unusual infection such as fungal organisms or septic emboli . As discussed by telephone with Dr . ___ on ___ at 8 :36 a .m . , a chest CT is recommended for further evaluation .