Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are relatively low . Surgical chain sutures project over the right mid lung . Nodular opacities project over the lungs bilaterally compatible with known metastatic disease although given differences in technique these have likely enlarged . Ill - defined opacity also noted in the retrocardiac region with lack of clear delineation of the descending thoracic aorta , compatible with enlarged mass since prior . No acute osseous abnormalities . No free intraperitoneal air . Surgical clips project over at the lower neck .
    OUTPUT:
    
Apparent interval enlargement of the bilateral pulmonary nodules and retrocardiac mass compatible with patient 's metastatic disease .