Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are normal . There is no pleural effusion or pneumothorax . There is a small well defined rectangular opacity lateral to the EKG lead overlying the left upper chest wall , which is likely associated with the EKG lead . There is no other focal consolidation concerning for pneumonia . Pulmonary vasculature is within normal limits .
    OUTPUT:
    
Small well demarcated focal opacity adjacent to an EKG lead along the left upper chest wall which is likely associated with the lead . However , a small focus of pneumonia can not be excluded . Removal of the lead and repeat chest radiograph is recommended to document resolution of this opacity . Dr . ___ ___ this recommendation with the clinical team via telephone on ___ around 5 pm .