Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Low lung volumes result in bronchovascular crowding . There is bibasilar atelectasis without focal consolidation , pleural effusion or pneumothorax . A nodular opacity in the right upper lobe is superimposed over the right sixth posterior rib . The heart can not be well evaluated due to lung volumes . The aorta is tortuous . Hilar contours are normal . Degenerative change is seen in the shoulder girdles bilaterally . There is no free air under the diaphragm . Compression deformities in the thoracic spine are noted .
    OUTPUT:
    
1 . No acute intrathoracic process . 2 . Nodule in the right upper lobe is superimposed over the right posterior rib , new from ___ . Shallow obliques off the frontal view could be performed for further evaluation . Findings and recommendations discussed with Dr . ___ by phone at 3 :41 pm ___ .