Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The mediastinal and hilar contours are unremarkable . The pulmonary vasculature is not engorged . Chain sutures are noted within the left mid lung field as result of prior lingulectomy . Lungs are hyperinflated . Subtle areas of opacification are seen in the right upper lobe , right lung base , and left upper lobe corresponding to ground - glass lesions seen on the previous chest CT , and thought to reflect areas of hemorrhage associated with pulmonary metastases . There is blunting of the right costophrenic angle compatible with a small pleural effusion , perhaps decreased in size from the prior study . No new focal consolidation is present . There is no pneumothorax . Scarring within the lung apices is re - demonstrated . Known pulmonary nodules seen on prior CT are not well assessed on the current radiograph . Diffuse osseous metastatic lesions are also better assessed on the previous CT . Moderate loss of height of a mid thoracic vertebral body is unchanged .
    OUTPUT:
    
1 . Subtle areas of opacification in the right upper lobe , right lung base , and left upper lobe corresponding to ground - glass opacities seen on prior chest CT , thought to reflect hemorrhage associated with pulmonary metastases . No new areas of opacification are demonstrated . 2 . Small right pleural effusion , perhaps minimally decreased in size from the previous CT . 3 . Known pulmonary nodules and osseous metastases are better assessed on the prior CT .