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 . There is a nodular focus projecting over the left mid lung , possibly a nipple shadow measuring approximately 7 mm in diameter . A nodular focus projecting over the right mid lung may also reflect a nipple shadow . Otherwise , the lung fields appear clear . There are no pleural effusions or pneumothorax . Mild degenerative changes are present along the mid thoracic spine .
    OUTPUT:
    
No evidence of acute disease . Nodular foci projecting over each lung , possible nipple shadows . Confirmation is recommended with an additional PA view with nipple markers when clinically appropriate . An email regarding the recommendation was sent to the ER ___ nursing group on ___ , at 10 :30 pm .