Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is top normal . The mediastinal and hilar contours are normal . The pulmonary vasculature is normal . Several punctate rounded densities are noted projecting over the upper lobes bilaterally , more so on the right . No focal consolidation is present . No pleural effusion or pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
Several punctate rounded densities within the upper lobes bilaterally , more so on the right . These may reflect a small airways infectious or inflammatory process in the correct clinical setting . Comparison with previous radiographs if available would be helpful . Alternatively , follow up radiographs are suggested .