Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patchy nodular opacities projecting over the lateral left lower lung may be due to pneumonia . No pleural effusion or pneumothorax is seen . The aorta is calcified and tortuous . The cardiac silhouette is not enlarged . Multilevel degenerative changes are seen along the spine .
    OUTPUT:
    
Focal small nodular opacities projecting over the lateral left lower chest may be due to pneumonia . However , recommend followup to resolution to exclude underlying pulmonary nodules . If pneumonia does not fit with clinical symptoms , followup chest CT is recommended to evaluate for pulmonary nodules .