Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The aorta is mildly tortuous . Mediastinal and hilar contours are within normal limits . The pulmonary vasculature is not engorged . No focal consolidation or pneumothorax is present . Minimal blunting of the costophrenic angles posteriorly suggests trace bilateral pleural effusions . 10 mm nodular opacity projects over the right upper lobe . No acute osseous abnormalities detected . Moderate degenerative changes are noted in thoracic spine .
    OUTPUT:
    
No radiographic evidence for pneumonia . Trace bilateral pleural effusions . 10 mm nodular opacity within the right upper lobe for which further assessment with nonemergent chest CT is recommended .