Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are compared to previous exam from ___ . Compared with prior , there has been no significant interval change . Diffuse bilateral pulmonary metastases are again seen . Right lateral loculated pneumothorax and air-fluid levels at the right lung base are essentially unchanged . Overall , there is no definite new region of consolidation , although subtle changes would be obscured by a diffuse burden of disease . Mediastinal masses are again noted . Cardiomediastinal silhouette overall is unchanged . Osseous and soft tissue structures are unremarkable .
    OUTPUT:
    
No significant interval change since previous exam of parenchymal and mediastinal masses and right lateral pneumothorax , similar in configuration compared to most recent exam from ___ .