Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest demonstrate persistent massive diffuse bilateral micronodular pattern in both lungs , not significantly changed from the prior study . Again seen is scarring or atelectasis along the medial aspect of the left lung , likely representing prior radiation . The cardiomediastinal and hilar contours are unchanged . There is a tiny left pleural effusion . A right - sided Port - A - Cath ends at the right atrium . There is no pneumothorax or consolidation .
    OUTPUT:
    
Stable appearance of massive diffuse bilateral micronodular pattern in both lungs which is concerning for metastatic disease . No pneumonia . Recommend CT of the chest for additional evaluation of symptoms persist .