Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lung volumes are noted to be decreased . Rounded opacities overly the bilateral lower lobes and likely represent nipple shadows , although pulmonary nodules can not be excluded . An additional rounded density is seen at the lateral aspect of the left upper lobe , and may represent a pulmonary nodule . There is no focal consolidation , pleural effusion , pneumothorax , or pulmonary edema identified . Specifically , there is no evidence of intrathoracic metastases . The heart size is normal . Mediastinal and hilar contours are normal .
    OUTPUT:
    
1 . Paired , rounded opacities in the RLL and LLL . Most likely representing nipple shadows . Recommend bilateral oblique views with nipple markers to exclude pulmonary nodules . 2 . Subtle , rounded opacity along the lateral aspect of the LUL . Recommend attention of follow up . Findings were entered into the radiology dashbaord by Dr . ___ at 5 :05 pm on ___ , ___ min after discovery .