Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Combination of mild pulmonary vascular congestion , septal interstitial lines at the right base , and bronchial cuffing , new since ___ could be early acute cardiac decompensation or , alternatively , chronic . Heart size top - normal . No pleural effusion . Projecting over the anterior left fifth rib is a complex of small nodular opacities . Some of this could be the left nipple , but not all of it . Lung nodules are presumed and should be evaluated with chest CT scanning .
    OUTPUT:
    
1 . Possible early congestive heart failure . 2 . Chest CT indicated for possible new left lung nodule .