Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is an irregular , rounded density projecting over the right heart border at the level of the posterior ninth rib on the frontal radiograph with an unclear correlate on the corresponding lateral view in the right lower lobe . There is also irregular thickening of the pleura involving the right apex along the lateral border adjacent to the right shoulder . No pleural effusion or pneumothorax is present . The pulmonary vasculature is not engorged . The cardiac silhouette is normal in size . The mediastinal and hilar contours are within normal limits . No skeletal abnormalities are noted .
    OUTPUT:
    
Irregular rounded density projecting over the right heart border and irregular pleural thickening involving the lateral right apex are unclear in etiology . A followup CT or short - interval chest radiograph is recommended for further evaluation . Findings were discussed by Dr . ___ with Dr . ___ by phone at 3 : 12 p .m . on ___ .