Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal contours are normal . Lungs are clear except for a calcified granuloma in the right mid lung . Focal pleural or extrapleural opacity adjacent to the intersection of the left eighth posterior and left seventh anterior ribs is noted . Costophrenic sulci appear clear . Degenerative changes are present in the spine .
    OUTPUT:
    
Focal pleural opacity in lower left hemithorax could reflect a localized pleural plaque , other cause of pleural thickening , or a focal extrapleural lipoma . In the absence of prior radiographs for comparison , followup radiograph in three months may be helpful to assess for stability and to exclude an active process in this region . Findings entered into radiology communications dashboard on ___ .