Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A round 2 .4 cm opacity in the superior aspect of the left upper lobe and an ovoid 1 .8 cm opacity in the inferior aspect left upper lobe are both most consistent with metastases . The lungs are otherwise clear . Heart size is top normal . The mediastinal contours are normal . There are no pleural effusions . No pneumothorax is seen .
    OUTPUT:
    
Left upper lung nodules are most consistent with metastases . Findings were discussed with Dr . ___ by Dr . ___ at 10 :58 p .m . via telephone on the day of the study .