Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . A lateral projection a small nodular opacity projects over a lower thoracic vertebral body , possibly a calcified granuloma or bone island . Otherwise the lungs appear clear . Cardiomediastinal silhouette is normal . No pleural effusion or pneumothorax . Bony structures appear intact . No free air below the right hemidiaphragm .
    OUTPUT:
    
No pneumonia . Bone island versus calcified granuloma projecting over the lower lungs .