Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right apical lesion with fiducial markers is again seen , similar to the prior study . Again there is mild elevation / eventration of the right hemidiaphragm which has been present on prior exams . Mediastinal contours are unremarkable . The cardiac silhouette is top normal with left ventricular configuration . Chronic deformity at the distal right clavicle is again seen .
    OUTPUT:
    
No acute cardiopulmonary process .