Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again noted are diffuse bilateral nodular opacities , consistent with known underlying metastases . This is better evaluated on the recent CT chest dated ___ . There are small bilateral pleural effusions . No pneumothorax . Cardiomediastinal silhouette is within normal limits . No acute osseous abnormalities identified . Left Port - A - Cath terminates at the cavoatrial junction .
    OUTPUT:
    
1 . No significant interval change in numerous bilateral parenchymal opacities , consistent with metastatic disease . 2 . Small bilateral pleural effusions that are new from ___ .