Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are numerous bilateral pulmonary nodules and masses , appearing more prominent compared to the radiograph from ___ . A superimposed pneumonia is difficult to exclude . No pleural effusion is noted . The cardiac silhouette is normal in size , and a right Port - A - Cath is in similar position .
    OUTPUT:
    
Re-demonstration of multiple pulmonary metastasis bilaterally , and a superimposed infection can not be fully excluded .