Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated , in keeping with known history of pulmonary emphysema . Biapical pleuroparenchymal scarring is observed . An 8 - mm well defined round opacity projecting over the right apex was present in ___ but was not seen in ___ . No other focal opacities are noted bilaterally . Cardiomediastinal and hilar contours are unremarkable . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
8 - mm right apex nodular opacity is stable since ___ , but new since ___ . Further assessment with non emergent chest CT is recommended in this patient with high risk of pulmonary disease .