Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single frontal portable view of the chest was obtained . Bibasilar consolidative opacities and innumerable nodular opacities are present throughout the lungs , similar to ___ and compatible with multifocal pneumonia superimposed on numerous metastatic nodules . Pulmonary vascular congestion is mild and improved since the prior exam . No pneumothorax or definite pleural effusion . Blunting of the left costophrenic angle is again seen , and correlates to epicardial fat on ___ CT . The heart size is normal . The osseous structures are unremarkable . There has been interval removal of a PICC .
    OUTPUT:
    
1 . Bibasilar opacities , compatible with multifocal pneumonia , similar to ___ . 2 . Numerous nodular opacities compatible with meatstatic disease , similar to ___ . 3 . Slight interval improvement of pulmonary vascular congestion .