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Initial chest X-ray:
A 10 mm ovoid nodule at opacity is projected in the lower half of the medial end of the left clavicle which is not resolved on the lateral projection. This may be associated with the sternoclavicular or degenerative first costochondral joint, it may represent pulmonary or pleural nodule or it may be outside the patient.
Mild peribronchial thickening bilaterally. The pleural spaces are clear. Heart size and mediastinal contours are normal. No pneumothorax or free subdiaphragmatic gas.
Repeat chest X-ray:
A repeat frontal chest x-ray with the patient's gown removed shows absence of the left apical nodule and hence clothing related.