Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The mediastinal and hilar contours are unchanged with tortuosity of the thoracic aorta again noted . Pulmonary vasculature is normal . Lungs are clear without focal consolidation , pleural effusion or pneumothorax . Previously seen 10 mm spiculated nodule in the right apex is better assessed on the previous CT . No pleural effusion or pneumothorax is seen . Mild compression deformity of a mid thoracic vertebral body is unchanged .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Previously noted 10 mm right apical spiculated nodule is not well assessed on the current exam , and as recommended on the previous CT , a followup chest CT is suggested for further assessment .