Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The mediastinal and hilar contours are normal . The pulmonary vasculature is normal . Small rounded , nodular are seen throughout both lungs . There is no focal consolidation . No pleural effusion or pneumothorax is seen . Rightward tracheal deviation is longstanding and related to an enlarged left thyroid lobe .
    OUTPUT:
    
Small , rounded opacities seen throughout both lungs are not well seen on radiograph . Recommend CT for further evaluation .