Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided Port - A - Cath tip terminates within the cavoatrial junction . Abnormal mediastinal and hilar contours are unchanged , with evidence of lymphadenopathy , better depicted on the recent chest CT . The heart size is difficult to assess given the presence of widespread pulmonary parenchymal opacities in both lungs . These pulmonary opacities appear progressed when compared to the prior chest radiograph , but are similar when compared to the prior chest CT , and findings are compatible with diffuse metastatic disease superimposed on a background of fibrosis . No pleural effusion is detected . There is no pneumothorax or definite evidence of pulmonary edema . No definite acute osseous abnormalities are identified .
    OUTPUT:
    
Widespread parenchymal opacities in both lungs , progressed when compared to prior chest radiograph but likely similar compared to the prior chest CT . Findings are compatible with metastatic disease superimposed on a background of fibrosis .