Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest were acquired . Within the left upper lobe there is a 2 .2 x 2 .4 cm opacity , concerning for a neoplastic process . The lungs are otherwise clear . The heart size is top normal . The mediastinal contours are normal . There are no pleural effusions . No pneumothorax is seen . Multilevel degenerative changes of the thoracolumbar spine are noted .
    OUTPUT:
    
Left upper lobe 2 .4 cm opacity , worrisome for a neoplastic process . Further evaluation with a chest CT is recommended . Pertinent findings were discussed with medical student , ___ , by Dr . ___ at 12 :23 p .m . via telephone on the day of the study .