Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided Port - A - Cath tip terminates at the junction of the right atrium and lower SVC . Heart size is normal . Mediastinal contours are unchanged . Hilar contours are stable . Innumerable nodular lesions in both lungs are similar and compatible with diffuse metastatic disease . Trace bilateral pleural effusions appear to be relatively unchanged . Pulmonary vasculature is not engorged . No pneumothorax is identified . Diffuse osseous sclerotic metastatic disease is re - demonstrated throughout the thoracic spine .
    OUTPUT:
    
Innumerable pulmonary metastases and osseous sclerotic metastases . Small bilateral pleural effusions .