Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Few punctate nodules are noted bilaterally , suggestive of previous visualized multiple bilateral nodules measuring up to 4 mm and better delineated on dedicated CT chest from ___ . Otherwise , the lungs are without a focal consolidation , effusion , or pneumothorax . Cardiac silhouette is within normal limits . No acute fractures are identified .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . Multiple known bilateral nodules measuring up to 4 mm are better delineated on dedicated CT Chest from ___ .