Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right internal jugular vascular Port - A - Cath terminates in the region of the proximal to mid superior vena cava . The catheter appears intact radiographically . Cardiac silhouette is upper limits of normal in size . Bilateral pulmonary nodules have been more fully evaluated by outside chest CT of ___ . There are no pleural effusions .
    OUTPUT:
    
Porta cath appears intact radiographically . Bilateral pulmonary nodules suggestive of metastatic disease .