Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is bilateral mediastinal and hilar adenopathy , more pronounced on the right side than left side . There are diffuse parenchymal nodular opacities bilaterally . There is no definite change in the degree of adenopathy or degree of nodular opacities from chest radiograph ___ . Median sternotomy wires are in place . The lung volumes are normal . Normal size of the cardiac silhouette . There is no pneumonia , pleural effusion , or pneumothorax .
    OUTPUT:
    
Mediastinal and hilar adenopathy with parenchymal nodular densities . There is no definite change in the degree of adenopathy from chest radiograph ___ . For assessment of subtle changes in adenopathy , chest CT is recommended .