Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart appears to be normal in size and cardiomediastinal borders are unchanged compared to the prior study . Multiple lung nodules are again noted bilaterally . Lung fields are otherwise clear . The small right apical pneumothorax seen on the prior study is no longer appreciated . No pleural effusions .
    OUTPUT:
    
Multiple bilateral lung nodules as previously seen .