Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are fully expanded and clear . No pleural abnormalities . Heart size is normal . Cardiomediastinal and hilar silhouettes are normal . Note is made of at least moderate osteophytosis in the visualized thoracic spine . A nonspecific somewhat oval radiopacity projecting above the mid right clavicle may be external to the patient .
    OUTPUT:
    
1 . No acute cardiopulmonary abnormality . 2 . A somewhat oval radiopaque density projecting just above the mid right clavicle may be external the patient . Correlation with physical exam required .