Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The known dominant metastatic lesion in the right upper lobe is increased , now measuring 4 .6 cm compared to 3 .4 cm on prior CT . Other known subcentimeter metastatic pulmonary lesions are not well seen on this radiograph . No evidence of pneumonia . No pleural effusion or pneumothorax . The cardiomediastinal and hilar contours are normal .
    OUTPUT:
    
The known dominant metastatic lesion in the right upper lobe is increased , now measuring 4 .6 cm compared to 3 .4 cm on prior CT . Other known subcentimeter metastatic pulmonary lesions are not well seen on this radiograph . No evidence of pneumonia , pleural effusion or pneumothorax .