Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low , causing bronchovascular crowding and accentuation of the heart size . Multiple scattered , rounded opacities in the left perihilar region and right lower lobe are consistent with known pulmonary nodules representing advanced metastatic disease . The right - sided Port - A - Cath tip projects at the region of the cavoatrial junction . No pleural effusion or pneumothorax detected .
    OUTPUT:
    
1 . Multiple bilateral rounded pulmonary nodular densities are compatible with known advanced metastatic disease . 2 . No discrete focal consolidation concerning for pneumonia . No pneumothorax .