Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac , mediastinal and hilar contours appear stable . A central venous catheter has been removed . There is no pleural effusion or pneumothorax . Streaky opacities in the right upper and left mid-to - lower lung suggest minor atelectasis . A lucent area projecting over the right lower lung is probably postoperative and appears unchanged . This study suggests the presence of many nodules ranging from small to moderate size scattered throughout each lung . This includes a new substantial opacity of oval shape measuring up to 36 mm in length projecting over the right mid lung . The findings were not present on recent prior studies suggesting rapid progression of metastatic disease .
    OUTPUT:
    
Numerous new nodular opacities suggesting metastases . No definite indication of an infectious process . The possibility that the dominant lesion in the lateral right lung may be infectious could be considered , however , although probably metastatic . Chest CT may be helpful to assess further if needed clinically .