Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is enlarged . The mediastinal and hilar contours are normal . The pulmonary vasculature is normal . There is a nodule or opacity seen on the lateral view superior to the major fissures . Otherwise the lungs are clear . There are small pleural effusions , right greater than left . Again seen are multiple degenerative changes of the thoracic spine .
    OUTPUT:
    
1 . Nodular opacity seen on the lateral view superior to the major fissures . Recommend follow - up chest radiograph in 3 months . 2 . Small bilateral pleural effusions .