Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A new poorly defined 2 .8 cm x 1 .7 cm diameter opacity has developed in the left mid lung region at the level of the seventh posterior rib level with the intersection of the left fourth anterior rib . On the lateral view , this has a spherical configuration and is localized to the anterior segment of the left upper lobe . Lungs are otherwise clear except for unchanged biapical and basilar linear scarring . Heart is normal in size . Aorta is tortuous . Bones are remarkable for healed left anterior rib fractures and degenerative changes of the spine .
    OUTPUT:
    
2 .8 cm left upper lobe nodule , highly concerning for a primary lung cancer . Further evaluation with chest CT is recommended for initial further evaluation as entered into the radiology communications dashboard on ___ .