Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well - expanded without focal consolidation suggestive of pneumonia . Innumerable diffuse pulmonary nodules are grossly unchanged from previous examinations . Small bilateral pleural effusions remain . The mediastinal contour , cardiac borders , and hila are stable . The left chest wall pacemaker is unchanged . Surgical ___ overlie the right neck consistent with prior thyroid surgery .
    OUTPUT:
    
1 . No evidence of pneumonia . 2 . Grossly unchanged diffuse pulmonary nodules consistent with known metastatic disease and small bilateral pleural effusions .