Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is at the upper limits of normal size . Mediastinal contours are unremarkable . A left suprahilar mass appears similar allowing for differences in technique . A large right upper lobe nodule also appears unchanged . Band - like opacity in the right middle lobe is compatible with minor atelectasis or scarring . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Findings consistent with a similar degree of metastatic disease as evaluated on radiography , with no evidence of acute disease .