Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette size is normal . The aorta is diffusely calcified and tortuous . Hilar contours are normal . The pulmonary vasculature is not engorged . Bronchiectasis is noted within the right upper lobe . 2 cm focal opacity is noted projecting over the medial aspect of the right apex , and it is unclear if this reflects a superimposition of structures or a true pulmonary nodule . Remainder of the lungs are clear without focal consolidation . No pleural effusion or pneumothorax is seen . There are mild degenerative changes noted in the thoracic spine .
    OUTPUT:
    
2 cm rounded opacity projecting over the medial aspect of the right lung apex . This could reflect a superimposition of structures or a true pulmonary nodule . Consider further assessment with nonemergent CT . Bronchiectasis in the right upper lobe . No evidence of pneumonia .