Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs were provided . Widespread bilateral pulmonary metastases are again demonstrated . There is no evidence of pneumonia . There is a small left pleural effusion . There is no pneumothorax . A right chest wall port catheter tip terminates at the cavoatrial junction . Cardiomediastinal silhouette is stable . Imaged upper abdomen is unremarkable .
    OUTPUT:
    
Widespread bilateral pulmonary metastases as seen previously without a evidence of pneumonia .