Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine AP view of the chest was provided . Multiple pulmonary nodules are redemonstrated . No definite signs of pneumonia or CHF . Cardiomediastinal silhouette is normal . No large effusion or pneumothorax . Bony structures are intact .
    OUTPUT:
    
Pulmonary nodules again noted compatible with metastatic disease . No definite signs of superimposed pneumonia or CHF .