Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left PICC line has been removed . Again seen is the extensive consolidation involving the left lung and right upper lobe , without significant change since ___ , and consistent with disseminated adenocarcinoma . No pneumothoax . Heart not well evaluated .
    OUTPUT:
    
Extensive consolidation involving the left lung and right upper lobe , without significant change since ___ , and consistent with disseminated adenocarcinoma .