Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal radiograph of the chest demonstrates low lung volumes . Top normal heart size . Multiple round opacities in the right mid and lower lung are concerning for metastases . Mild pulmonary vascular congestion . Small left pleural effusion . Retrocardiac opacity consistent with left lower lobe pneumonia .
    OUTPUT:
    
1 . Multiple pulmonary nodules concerning for metastases . 2 . Left lower lobe pneumonia .