Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart again appears mildly enlarged . The mediastinal and hilar contours appear within normal limits . There is no pleural effusion or pneumothorax . A pair of the lung nodules projects over the left upper lung , the larger perhaps as much as 11 mm in diameter and the smaller 7 mm , both with irregular contours . Otherwise , the lungs appear clear aside from streaky minor atelectasis or scarring that is unchanged in the left lower lobe .
    OUTPUT:
    
No evidence of acute disease . Pulmonary nodules , similar but perhaps increased . Chest CT is recommended in short - term follow - up , when clinically appropriate , to reassess nodules .