Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral chest radiographs were obtained . Lung volumes are mildly decreased . Blunting of the right costophrenic angle is stable . There is a 2 x 4 cm lobulated opacity projecting over the lower thoracic spine on the lateral view . This appears to correlate with a left paraspinal contour on the frontal view . This was definitely not present in ___ , the last time that a true lateral radiograph was obtained . Further imaging evaluation with CT should be considered . No pulmonary edema or pneumothorax .
    OUTPUT:
    
Questioned lobulated opacity projecting over the lower thoracic spine may correspond to a left paraspinal lesion . A chest CT is recommended for further evaluation .