Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The mediastinal and hilar contours are unremarkable . The pulmonary vascularity is normal . Ill - defined , somewhat oblong opacity within the right upper lobe is relatively unchanged compared to the prior study , measuring approximately 2 cm . Remainder of the lungs are clear of consolidation . No pleural effusion or pneumothorax is present . No acute osseous abnormality is seen .
    OUTPUT:
    
Essentially unchanged ill - defined oblong opacity within the right upper lobe for which a chest CT is recommended for further evaluation . No new acute cardiopulmonary abnormality otherwise seen .