Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is a large left upper lobe mass with elevation of left hemidiaphragm , largely unchanged from the prior study . Multiple small nodules and coarse reticulations particularly in the right lower lung are concerning for metastases with lymphangitic extention . The previously seen pulmonary edema is improved . no pleural effusions are seen and there is no pneumothorax .
    OUTPUT:
    
1 . Multiple , disseminated lung nodules are presumably metastases , 2 . Improved pulmonary edema .