Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Scattered opacities within the lung in the right upper and lower lobes as well as in the left lower lobe appear concerning for metastatic disease , less likely pneumonia . 2 clips are seen projecting over the left lower lung . Heart size can not be assessed . Mediastinal contour appears relatively stable though difficult to accurately assessed given rotation on the AP view . Mild scoliosis is unchanged .
    OUTPUT:
    
Scattered opacities with a lungs are concerning for worsening metastatic disease . Please correlate clinically .