Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are bilateral hazy interstitial opacities likely representative of moderate pulmonary edema . Cardiomediastinal silhouette appears enlarged in comparison to prior study . There is a small right pleural effusion . Overall , these findings are representative of heart failure . Furthermore , a focal 1 .5 x 1 .2 cm nodularity is noted in the right upper lobe . No acute fractures identified .
    OUTPUT:
    
1 . Bilateral hazy interstitial opacities with enlarged cardiomediastinal silhouette are representative of heart failure . 2 . 1 .5 x 1 .2 cm nodularities in the right upper lobe . Dedicated chest radiographs post - diuresis are recommended to evaluate this region .