Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bilateral lungs are well expanded . Multiple , small , lung nodules and small hilar and mediastinal lymph nodes seen on prior chest CT 's are beyond resolution of radiograph and not demonstrated . There is no pleural effusion . Mediastinal and hilar contours are within normal limits .
    OUTPUT:
    
No relevant change since prior radiograph dated ___ . Multiple small lung nodules and mediastinal and hilar lymphadenopathy demonstrated on the prior chest CTs are not visualized . CT is more sensitive in detecting the lung nodules , mediastinal lymphadenopathy and interval changes .