Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . The patient is status post median sternotomy . Fractured wires are seen involving the second superior - most wire and at the inferior - most wire . Innumerable bilateral pulmonary nodules are seen consistent with metastatic disease with concern for worsening since the prior study . Chain sutures are seen overlying the bilateral upper hemithorax . No pleural effusion is seen . No pneumothorax . The cardiac and mediastinal silhouettes are stable .
    OUTPUT:
    
Innumerable bilateral pulmonary nodules consistent with metastatic disease .