Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again visualized are bilateral pulmonary masses consistent with patient 's known metastatic disease . Also again noted is partial atelectasis in the right upper lobe with collapse of the the right middle lobe . No pleural effusion or pneumothorax is seen . Known subcarinal and left hilar lymphadenopathy is better delineated on dedicated chest CT . No acute fractures are identified .
    OUTPUT:
    
Little change in comparison to recent chest CT from ___ with multiple bilateral pulmonary masses , partial right upper lobe atelectasis , and right middle lobe collapse .