Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion or pneumothorax . There is a nodular opacity projecting on the lateral view on the lowest thoracic vertebral body adjacent to one of the hemidiaphragms that was not clearly present on the prior exam and may represent a vessel on end . The cardiomediastinal silhouette is normal . The imaged upper abdomen is unremarkable . The bones are intact .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Nodular opacity projecting on the lateral view that was not clearly seen on prior studies . This should be further evaluated with lateral shallow oblique views .