Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are reviewed and compared to the prior study . Bilateral nipple rings are again noted . The lungs are clear without focal consolidation , pulmonary edema , pleural effusion or pneumothorax . The cardiac , hilar and mediastinal silhouettes are normal .
    OUTPUT:
    
Normal chest radiograph without signs of pulmonary tuberculosis .