Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multiple bilateral pulmonary masses are again noted , similar to that seen on ___ . There is no new opacity suggestive of a focal infection . Heart appears prominent consistent with known fat - pad . No acute fractures are identified .
    OUTPUT:
    
Multiple bilateral pulmonary nodules consistent with patient 's known pulmonary amyloid disease as seen previously . There is no new opacity suggestive of a focal infection .