Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided demonstrate multiple bilateral pulmonary nodules which are essentially unchanged from the prior exam . Please note exact comparison is limited due to differences in modality . No superimposed pneumonia . Suture material is noted along the right perihilar region , without change . No effusion or pneumothorax . Cardiomediastinal silhouette appears stable . Bony structures appear intact . Right breast shadow is absent .
    OUTPUT:
    
Multiple pulmonary nodules , not significantly changed allowing for differences in modality . No signs of superimposed acute process .