Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Midline sternotomy wires and mediastinal clips are noted . There is a nodular opacity projecting over the right lung base measuring 2 .8 x 2 .4 cm . There was a small nodule seen in this site on the prior PET - CT and findings are concerning for enlarging pulmonary nodule . Otherwise , the lungs appear clear without evidence of pneumoni , edema , effusion , or pneumothorax . Cardiomediastinal silhouette appears grossly unremarkable . The imaged bony structures are intact . No free air below the right hemidiaphragm .
    OUTPUT:
    
Pulmonary nodule in the right lower lung measuring up to 2 .8 cm appears increased in size from PET - CT and remains concerning for metastatic disease . Additional smaller nodules seen on prior PET - CT can not be clearly visualized though if needed a CT may be performed to further assess .