<num>. an irregular spiculated nodule of <num> x <num> cm in the right upper lung has grown since <unk> when it was highly inconspicuous. chest ct is recommended for further evaluation. <num>. moderate cardiomegaly and enlarged bilateral pulmonary arteries suggestive of pulmonary artery hypertension. findings were discussed with dr. <unk> <unk> the significance of this nodule, and recommendation of chest ct on <unk> at <time> p.m.