Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hyperinflated but clear of focal consolidation . Fat pad is identified at the right cardiophrenic angle . Known right upper lobe spiculated nodule is not clearly delineated on this plain film . No acute osseous abnormalities . Surgical clips than in the right upper quadrant suggest prior cholecystectomy .
    OUTPUT:
    
No acute cardiopulmonary process . Known spiculated right upper lobe nodule was better seen on prior CT and more in nonurgent followup CT scan as outpatient 4 months .