Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are normal . The lungs are well expanded and clear , without consolidation , pleural effusion or pneumothorax . There is no evidence of free air under the diaphragm . Abnormal medial contour of a right upper abdominal bowel loop , raises concern for a mass in the epigastrium . Recommended clinical assessment and if needed a CT abdomen or focused epigastrium .
    OUTPUT:
    
1 . No acute cardiopulmonary pathology or pneumoperitoneum . 2 . Abnormal contour of a right upper abdominal bowel loop , raises concern for an adjacent mass . Recommended clinical assessment and if needed , a focused ultrasound of CT including the epigastrium . This finding was e-mailed to the ED ___ nurses on ___ .