Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly is unchanged from ___ . Hilar contours are normal . Mild prominence of the pulmonary vasculature is unchanged . A nodular opacity is visible in the left upper lung at the junction of the anterior ___ and posterior 4th rib which in retrospect may have been present on the examination from 3 days prior . In addition , there are smaller nodular opacities scattered in the right mid and upper lung . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
1 . Scattered pulmonary nodules particularly in the left upper lung for which further evaluation with a dedicated noncontrast chest CT is recommended . 2 . Unchanged moderate cardiomegaly and mild pulmonary vascular congestion . Results were discussed over the telephone with Dr . ___ by Dr . ___ on ___ at 13 : 55 at time of initial review .