Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs were provided . There is no focal consolidation , pleural effusion or pneumothorax . A right apical granuloma is present . A nodular opacity in the left upper lobe is not clearly visualized on the prior chest CT . The cardiomediastinal silhouette demonstrates a tortuous aorta and top - normal heart size . Median sternotomy wires , mediastinal clips are noted . Surgical clips in the left neck are new . There is a small lucency projecting under the right hemidiaphragm which is concerning for free intraperitoneal air .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Lucency projecting under the right hemidiaphragm may represent intraperitoneal free air . Recommend clinical correlation and abdominal radiographs for further evaluation . 3 . Left upper lobe nodular opacity , not present on the prior chest CT . Recommend non-urgent Chest CT for further evaluation . Findings # 2 were discussed with Dr . ___ by Dr . ___ at 11 :30 am via telephone . Patient is on peritoneal dialysis and thus air is expected . Findings # 3 were discussed with Dr . ___ by Dr . ___ ___ telphone at 6 : 50 pm .