Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are multiple rounded opacities which are unchanged from the prior CT and likely secondary to metastatic disease . The lungs are otherwise clear . There is no pneumothorax pleural effusion . Minimal cardiomegaly is chronic . Pulmonary vascularity is normal . Surgical clips in the left upper thorax are unchanged .
    OUTPUT:
    
No acute cardiopulmonary process .