Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A new left internal jugular line ends in the mid superior vena cava . Multiple masses and nodules in both lungs are consistent with known pulmonary metastases . There is no focal consolidation , pleural effusion or pneumothorax . The cardiac and mediastinal contours are stable . Postoperative changes are similar .
    OUTPUT:
    
New left IJ line ends in the mid superior vena cava . No pneumothorax .