Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded . In the lateral view , there is a rounded opacity in the upper anterior mediastinum , which is thought to be inferior to an external clip in the right mid lung , between the posterior ribs six and seven . There is some opacification of the right cardiophrenic angle which may represent a prominent epicardial fat pad . No other focal opacities are identified . The cardiomediastinal and hilar contours are unremarkable . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
1 . Rounded opacity in the anterior upper mediastinum seen in the lateral view as well as an ill - defined opacity between the posterior portion of the right sixth and seventh rib as described above may represent focal consolidation or nodule . Further assessment with chest CT is recommended . 2 . Ill - defined opacification of the right cardiophrenic angle is also assessed in the lateral view and likely represents a prominent epicardial fat pad .