Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal contours are normal . Lungs are well - expanded and grossly clear . No definite pleural effusion .
    OUTPUT:
    
No radiographic evidence of active pulmonary infection . However , miliary nodules from pulmonary tuberculosis may be radiographically occult . If clinical suspicion for miliary infection is high , a chest CT could be considered if warranted clinically .