Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Numerous bilateral nodular opacities are again noted which remain concerning for metastatic disease . No large effusion or pneumothorax is seen . Mild cardiomegaly appears new from prior exam . The mediastinal contour appears unchanged with atherosclerotic calcification along the aortic knob . The imaged bony structures appear unremarkable . Clips in the upper abdomen noted .
    OUTPUT:
    
Scattered opacities as on recent CT chest concerning for metastasis . Heart size appears intervally enlarged . Consider dedicated PA and lateral view to better assess .