Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . There is a spiculated opacity measuring approximately 1 .7 x 1 .5 cm in the right suprahilar region , concerning for underlying pulmonary lesion versus vascular structures . No new focal consolidation is seen . The lungs remain hyperinflated with flattening of the diaphragms and increased AP diameter , suggesting chronic obstructive pulmonary disease . No large pleural effusion or pneumothorax . The cardiac and mediastinal silhouettes are stable . The patient is status post median sternotomy . The aorta is coarsely calcified .
    OUTPUT:
    
Spiculated opacity in the right suprahilar region raises concern for underlying pulmonary lesion . Recommend followup chest CT for further evaluation .