Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no substantial change in appearance of patient 's known diffuse bilaterally pulmonary metastases , which are better characterized on recent FDG PET - CT performed ___ . There are no pleural effusions or pneumothorax . The heart border is indistinct due to overlying soft tissue lesions . No acute osseous abnormalities . Again seen are multiple subcutaneous clips seen in the mid anterior chest wall .
    OUTPUT:
    
No evidence of pleural effusions bilaterally .