Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest demonstrate hyperexpanded lungs . Numerous pulmonary nodules measuring up to 1 .5 cm are present . Small bilateral pleural effusions with adjacent atelectasis or new over the interval . The cardiomediastinal and hilar contours are unchanged . The heart is enlarged and the aorta is tortuous . There is no pneumothorax .
    OUTPUT:
    
1 . New small bilateral pleural effusions with adjacent atelectasis . 2 . Numerous pulmonary nodules measuring up to 1 .5 cm . For better assessment of pulmonary nodules , CT of the chest could be performed .