Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The aorta is mildly tortuous . Mediastinal and hilar contours are unremarkable . Scarring within the lung apices is present . 11 mm nodular focus within the right apex is noted . Lungs are hyperinflated . No focal consolidation , pleural effusion or pneumothorax is present . Pulmonary vasculature is not engorged . The osseous structures are diffusely tomorrow demineralized with moderate diffuse degenerative changes noted throughout the thoracic spine .
    OUTPUT:
    
1 . No focal consolidation to suggest pneumonia . 2 . 11 mm nodular opacity within the right apex . Chest CT is suggested for further assessment on a nonemergent basis .