Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Numerous bilateral rounded lesions are consistent with pulmonary nodules better evaluated on CT ___ . The heart size is normal . There small bilateral pleural effusions . There is no pneumothorax . The osseous structures are unremarkable .
    OUTPUT:
    
Numerous pulmonary nodules are better evaluated on CT chest ___ , may represent a vasculitis , less likely metastases .