Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral radiographs of the chest were acquired . There is a 5 - mm nodular opacity in right mid lung projecting over the ___ posterior rib , possibly a lung nodule . Ill - defined opacity at the right medial lung base , with associated silhouetting of the lower right heart border is not significantly changed compared to prior radiographs from ___ and is likely related to a prominent epicardial fat pad , as seen on CT from ___ . No focal consolidations are seen . There is evidence of mild emphysema . There are no pleural effusions . No pneumothorax is seen . The cardiac and mediastinal contours are normal . Cervical fusion hardware is not fully assessed . Multilevel degenerative changes of the thoracic spine are noted , as before .
    OUTPUT:
    
1 . No acute cardiac or pulmonary process . 2 . Possible 5 - mm right mid lung nodule should be further evaluated with chest CT . Findings and recommendation were discussed with Dr . ___ by Dr . ___ at 5 : 15 p .m . via telephone on the day of the study .