Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall pacer has leads in the right atrium and right ventricle . There are innumerable diffuse small pulmonary nodules bilaterally compatible with patient 's history of metastatic papillary cancer . There are small bilateral pleural effusions . Heart size is normal . There is no pulmonary edema . There is no pneumothorax . The mediastinal and hilar contours are normal .
    OUTPUT:
    
1 . No pulmonary edema . 2 . Small bilateral pleural effusions . 3 . Innumerable diffuse pulmonary nodules compatible with history of metastatic disease .