Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right internal jugular central venous catheter has been removed . Lung volumes are low . Heart size is borderline enlarged but unchanged . The mediastinal and hilar contours are stable . Innumerable diffuse pulmonary nodules are re- demonstrated , the largest in the right upper lobe measuring up to 13 mm . Patchy left lower lobe opacity likely reflects atelectasis . No focal consolidation , pleural effusion or pneumothorax is present . The pulmonary vascularity is not engorged . Multiple clips are re - demonstrated in the left upper abdomen compatible with prior nephrectomy . Known osseous metastasis involving the T12 vertebral body is not well visualized on the current exam .
    OUTPUT:
    
Patchy left lower lobe opacity likely atelectasis . Innumerable pulmonary metastases , relatively unchanged .