Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to recent radiographs , numerous bilateral lung nodules consistent with metastatic disease appear grossly unchanged in size and number . There has not been re-accumulation of the right pleural effusion . Right pleural drain appears unchanged in position . Lungs are fully expanded . No focal consolidations . Heart size is normal .
    OUTPUT:
    
No re-accumulation of right pleural effusion . Overall metastatic disease burden unchanged .