Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is normal in size . The mediastinal and hilar contours appear within normal limits . The chest is hyperinflated . There is no pleural effusion or pneumothorax . In addition to subpleural scarring at the right lung apex , there is a vague nodular opacity which measures approximately 15 mm in diameter . An old fracture affects the right anterior lateral ninth rib .
    OUTPUT:
    
1 . No evidence of acute cardiopulmonary disease . 2 . Suspicious nodular opacity at the right lung apex with no short - term change but possibly a primary neoplasm . When clinically appropriate evaluation with dedicated chest CT is recommended . 3 . Hyperinflation .