Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe cardiomegaly is unchanged . A dual - lead pacer is unchanged in position . Hilar contours are unremarkable . 8 mm nodular opacity projecting over the right lower lung field does not have distinct correlate , is somewhat seen on ___ study but is much more discrete on today 's examination . Lungs are otherwise clear . Pleural surfaces are clear without pneumothorax . Small bilateral effusions .
    OUTPUT:
    
1 . No acute cardiopulmonary abnormality . 2 . 8 mm nodular focus projecting over the right lower lung , more discrete compared to ___ . This could represent nodule or vessel en face . Consider CT for evaluation if indicated . 3 . Small bilateral effusions .