Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Lung volumes are low which limits assessment . There are scattered bilateral pulmonary nodules which may be slightly progressed from the prior exam . There is also hilar congestion and at least mild pulmonary edema . Small pleural effusions are likely present though the lateral view is limited due to obliquity . Cardiomediastinal silhouette is unchanged . The imaged bony structures are intact .
    OUTPUT:
    
Pulmonary congestion and mild edema with small bilateral pleural effusions and multiple bilateral pulmonary nodules consistent with known metastatic disease .