Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy and CABG . Left left - sided AICD / pacemaker device is noted with single lead terminating in the right ventricle . Curvilinear calcification at the cardiac apex is again noted , and unchanged compatible with prior left ventricular infarct with aneurysm formation . Low lung volumes are present , with the heart size appearing mildly enlarged . The aorta remains calcified . The mediastinal contours are stable . Innumerable bilateral diffuse nodules are seen in both lungs compatible with metastatic disease . No focal consolidation , pleural effusion or pneumothorax is identified . No definite acute osseous abnormalities are seen .
    OUTPUT:
    
Innumerable pulmonary metastases . No radiographic evidence for pneumonia .