Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . A spiculated density is seen projecting over the left first rib . The cardiomediastinal silhouette is normal . Surgical clips are redemonstrated in the patient 's right upper quadrant likely secondary to cholecystectomy . Imaged osseous structures are intact . No free air below the right hemidiaphragm is seen .
    OUTPUT:
    
A spiculated density is seen projecting over the left first rib . An apical lordotic view is recommended for further evaluation .