Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . Left chest wall port is again seen with tip at the RA / SVC junction . Innumerable bilateral pulmonary nodules are again seen which appear slightly more confluent particularly at the lung bases when compared to prior . There is no large confluent consolidation , however evaluation for subtle new opacity maybe a obscured by the metastatic burden . Cardiomediastinal silhouette is stable . No acute osseous abnormalities detected .
    OUTPUT:
    
Widespread metastatic disease without definite acute cardiopulmonary process noting that subtle region of consolidation could be obscured .