Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is mildly enlarged . Tortuous mild heavily calcified thoracic aorta . Hilar contours are unremarkable . Lungs are without focal airspace consolidation . Several 3 - 4 mm nodular opacities in the periphery of the right lower lung are seen . Comparison to remote studies would be helpful to assess for stability . . Pleural surfaces are unremarkable without effusion or pneumothorax . Degenerative changes of the left glenohumeral joint .
    OUTPUT:
    
No focal consolidation to suggest pneumonia or aspiration . Prominent atherosclerotic calcifications of the thoracic aorta . Several 3 - 4 mm nodular opacities in the periphery of the right lower lung for which comparison to remote studies would be recommended . If remote studies are not available , further imaging evaluation with CT may be indicated .