Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is normal in size . The mediastinal and hilar contours appear within normal limits . Bilaterally there small nodular densities that suggest nipple shadows . , larger on the left than right . In addition there is a second nodular focus on the left which is round and measures approximately 8 mm which raises concern for potential parenchymal nodule . Trace pleural effusions are present bilaterally . There is no pneumothorax . The finding of minimal fissural thickening may indicate slight fluid overload but there is no parenchymal edema .
    OUTPUT:
    
Possible pulmonary nodules . Particularly given relatively high density , a combination of nipple shadows and a granuloma may explain the findings , but to exclude nodules , chest CT is recommended when clinically appropriate . The findings and recommendations were discussed with Dr . ___ on ___ by telephone .