Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Two large pulmonary masses have developed in the right upper lobe , measuring 6 .7 x 5 .9 and 3 .9 x 2 .6 cm . Several additional nodular opacities are noted in both lower lobes . Bibasilar atelectasis , obscures both hemidiaphragms . Mild cardiomegaly , with central venous congestion and small bilateral effusions , suggest mild cardiac decompensation . The aortic arch is tortuous and calcified .
    OUTPUT:
    
New lung masses and smaller nodules most likely metastases , alternative vasculitic masses . Borderline cardiac decompensation . Please refer to subsequent CT for further details . This was discovered on ___ at 1 p .m . , and called to Dr . ___ at 1 :02 p .m .