Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded and clear . Multiple rounded opacities in the right and left hila are compatible with calcified lymph nodes . Cardiomediastinal and hilar contours are unremarkable . There is no pleural effusion or pneumothorax . No fracture is identified .
    OUTPUT:
    
1 . No acute cardiopulmonary process . Multiple rounded opacities in the right and left hila are compatible with calcified lymph nodes . 2 . No rib fractures are identified . However , this study has suboptimal sensitivity for the detection of rib fractures and if there is further clinical concern , dedicated right rib views should be obtained .