Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An irregularly shaped nodular opacity projecting over the right scapular wing in the ___ interspace has increased since the recent radiograph , but new since the ___ radiograph and ___ CT scan . There is no new consolidation or pneumothorax . A new small left pleural effusion is present . Mild cardiomegaly is unchanged . The descending thoracic aorta is tortuous as in the past . Severe right shoulder degenerative changes are stable . Spinal degenerative changes , including multiple compression deformities , are not appreciably changed . Metallic right upper quadrant surgical clips denote prior cholecystectomy .
    OUTPUT:
    
No evidence of pneumonia . New small left pleural effusion . Irregularly shaped nodular opacity projecting over the right scapular wing in the ___ interspace has increased since the recent chest radiograph , and is new since ___ . While this may be due to new infection , neoplastic etiologies can not be excluded . A dedicated chest CT may be obtained for further evaluation if clinically warranted .