Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are multiple left - sided pulmonary nodules compatible with metastases as previously noted . Known right - sided pulmonary nodules are not clearly delineated . The largest nodule on the left measures 3 cm , previously approximately 2 .7 cm . Diffuse bilateral parenchymal opacities , right greater than left have otherwise not significantly changed . Cardiomediastinal silhouette is within normal limits . No acute osseous abnormalities .
    OUTPUT:
    
No dramatic interval change . Diffuse interstitial abnormality as noted on prior as well as pulmonary metastases .