Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Port - A - Cath resides over the right chest wall with catheter extending into the cavoatrial junction . Pulmonary nodules are again noted the largest of which projects over the right lower lung measuring approximately 2 .3 cm in diameter . These are better assessed on the prior CT of the chest . Additional nodules are also present . No signs of pneumonia , effusion or pneumothorax . The heart size is stable . Prominence of the mediastinum reflects known right paramediastinal mass . Areas of scarring in the left lung apex and the right lung apex are unchanged . Bony structures are intact . No free air below the right hemidiaphragm .
    OUTPUT:
    
Metastatic disease with pulmonary nodules and large right paramediastinal mass better assessed on prior CT . No superimposed pneumonia .