Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Diffuse bilateral pulmonary nodules and masses are again noted . There is apparent increase in the burden of disease when compared to prior exam . There is no definite consolidation worrisome for infection although one could easily be obscured . Cardiomediastinal silhouette is stable . Left - sided pigtail catheter is no longer visualized . Left chest wall dual lead pacing device is again noted . No acute osseous abnormalities .
    OUTPUT:
    
Increasing burden of disease when compared to exam from ___ noting bilateral pulmonary nodules and masses . No definite consolidation worrisome for infection although one could easily be obscured .