Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided Port - A - Cath is noted with tip terminating in the SVC . The cardiac , mediastinal and hilar contours are within normal limits . Innumerable rounded lesions are demonstrated diffusely within both lungs compatible with metastatic disease . Overall , the metastatic disease within the lungs appears grossly progressed in the interval . No focal consolidation , pleural effusion or pneumothorax is identified . No definite osseous metastatic lesions are seen .
    OUTPUT:
    
Widespread pulmonary metastases appear progressed compared to the prior CT . No acute superimposed process otherwise clearly identified .