Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear of consolidation or effusion . There is a small right upper lung nodule projecting over the anterior right first rib interspace which was likely present on prior and is unchanged . Cardiomediastinal silhouette is normal . No acute osseous abnormality is identified .
    OUTPUT:
    
No acute cardiopulmonary process , no pneumonia .