Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is at the upper limits of normal size . The mediastinal and hilar contours are unremarkable aside from vague fullness of the right superior mediastinum which probably reflects a known right suprahilar nodule . Throughout each lung , multiple nodules of medium size are noted that are consistent with known metastatic disease . Streaky left basilar opacity suggests minor atelectasis in the lingula . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Multiple nodules suggesting metastatic disease , difficult to compare directly to the prior study , but compatible with prior findings .