Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral chest radiograph provided . Several bilateral nodular opacities consistent with known metastatic disease are again . There is no superimposed consolidation concerning for pneumonia . No evidence of pulmonary edema , effusion or pneumothorax . The cardiomediastinal silhouette appears stable . No bony abnormalities detected . Biliary stents in the upper abdomen noted .
    OUTPUT:
    
Metastatic nodular pulmonary lesions without evidence of superimposed pneumonia .