Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The hilar and mediastinal contours are normal . The lungs demonstrate no focal consolidations concerning for pneumonia . There is no pleural effusion or pneumothorax . Note is made of a well - circumscribed calcified nodule overlying the mid right lung measuring 0 .9 cm . Additional nodule overlying the left anterior 2nd rib . Note is also made of a nodular opacity anterior to the lower thoracic spine , though to osteophyte .
    OUTPUT:
    
1 . No focal consolidations concerning for pneumonia identified . 2 . Calcified nodule overlying the mid right lung likely a granuloma . Additional left apical nodular opacity , potentially a bone island but apical lordodic images suggested to confirm . Updated recommendations were submitted to the ___ nurse by Dr . ___ at 4 : ___p on the day of the exam .