Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Diffuse bilateral opacities , including more confluent opacities at the lung bases bilaterally are worsened from CT ___ . Bilateral pleural effusions are small . The cardiomediastinal silhouette is unremarkable . No pneumothorax .
    OUTPUT:
    
Multifocal , diffuse opacities , better evaluated on the CT from the same date appear to represent metastatic disease . Small bilateral effusions are also better appreciated on CT .