Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Relatively low lung volumes are again noted . Overlying the right mid to upper lung projecting over the posterior right sixth rib is a 1 cm and nodular opacity . The lungs are otherwise clear . The cardiomediastinal silhouette is within normal limits . No acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary process . Nodular opacity projecting over the right lung new since prior . This is in close association to overlying cardiac lead and could be external however repeat is suggested with PA and lateral views when patient is amenable .