Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multiple nodular opacities including in the left upper lung correspond with the some of the previously noted pulmonary metastasis . The lungs are clear of focal consolidation , pleural effusions or pneumothoraces . The cardiac mediastinal silhouette is within normal limits . Surgical clips are noted within the right anterior chest wall , and a left Port - A - Cath terminates at the cavoatrial junction . Partially visualized lesions in the thoracic spine correspond with the known osseous metastases seen on prior CT . Posterior lumbar fusion surgical hardware is partially visualized .
    OUTPUT:
    
Metastatic lesions in the lungs and thoracic spine better assessed on prior CT . No superimposed pneumonia .