Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multiple known pulmonary metastases are better evaluated on prior CT . Cardiomediastinal silhouette is unchanged . There is no focal lung consolidation . Pleural effusion is small , if any .
    OUTPUT:
    
No significant interval change in the appearance of the chest . No pulmonary metastases better evaluated on prior dedicated chest CT .