Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The mediastinal and hilar contours are within normal limits . As demonstrated on the prior CT , innumerable small nodules are again seen in both lungs in a miliary pattern . No focal consolidation , pleural effusion or pneumothorax is present . The patient is status post right mastectomy . No acute osseous abnormality is identified .
    OUTPUT:
    
Innumerable miliary nodules compatible with known metastatic disease , better assessed on the recent CT . No focal consolidation .