Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single lead left cardiac pacer lead ends in the right atrium . Median sternotomy wires appear intact . The lungs are well - expanded and clear . No focal consolidation , effusion , edema , or pneumothorax . The heart is normal in size . An 1 .5 - cm rounded structure in the right infrahilar region is suspicious for a pulmonary nodule .
    OUTPUT:
    
1 . No focal pneumonia or effusion . 2 . 1 .5 - cm possible pulmonary nodule in the right infrahilar region . Further evaluation with non-emergent chest CT is recommended .