Clean up a PBM image by erasing isolated black and white pixels. More information: https://netpbm.sourceforge.net/doc/pbmclean.html.
pbmclean path/to/image.pbm > path/to/output.pbm
pbmclean -black|white path/to/image.pbm > path/to/output.pbm
pbmclean -minneighbours 3 path/to/image.pbm > path/to/output.pbm