Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right chest wall port is seen with catheter tip at the lower SVC . Vague nodular opacities project over the right mid and lower lung not definitely changed from prior . Focal nodular opacity at the retrocardiac region abutting the descending thoracic aorta again seen . Other bilateral pulmonary nodules detected by CT are not clearly delineated by chest x-ray . Slightly enlarged hilar contour compatible with adenopathy particularly on the right is unchanged from prior . There is no definite superimposed acute process . There is increased density over a lower thoracic vertebral body compatible with known metastatic disease .
    OUTPUT:
    
Bilateral pulmonary nodules compatible with patient 's known metastatic disease noting evaluation for subtle change would be best performed by CT . No definite superimposed acute cardiopulmonary process .