Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post right middle lobectomy and right upper lobe wedge resection with clips noted at the right hilum . Heart size is normal . The mediastinal contour appears similar with mild rightward shift of mediastinal structures reflective of the right - sided volume loss . Fullness of the hila bilaterally likely reflects underlying lymphadenopathy , as noted on recent chest CT . Pulmonary vasculature is not engorged . Lungs remain hyperinflated with mild emphysematous changes again noted with an upper lobe predominance . Chronic small right pleural effusion is unchanged with mild adjacent atelectasis in the right lung base . Innumerable nodules within the lungs are progressed from ___ , but not substantially changed from the previous chest CT . No new focal consolidation , left - sided pleural effusion or pneumothorax is present . No acute osseous abnormality is detected .
    OUTPUT:
    
1 . Innumerable pulmonary metastases , as seen on the previous chest CT , and progressed from the previous chest radiograph . 2 . Chronic small right pleural effusion . 3 . Postsurgical changes in the right lung . 4 . Mild upper lobe predominant emphysema . 5 . Fullness of the hila bilaterally compatible with underlying lymphadenopathy . 6 . No new focal consolidation to suggest pneumonia .