Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again demonstrated are multiple bilateral metastatic nodules , the largest in the left upper lung field measuring 25 mm , previously 23 mm . There is no consolidation concerning for pneumonia . The heart size , hilar , and mediastinal contours are normal . The left chest wall port is unchanged in the catheter terminates at the cavoatrial junction . No pneumothorax or pleural effusion .
    OUTPUT:
    
No evidence of pneumonia . Redemonstration of multiple bilateral metastatic nodules .