Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As seen on the prior chest CT , there are multiple left - sided intrathoracic metastases , including a large mass at the left apex and several additional paramediastinal masses and left paraspinal mass with contour similar to the scout image from ___ . No new focal consolidation is seen on the right . There is no large pleural effusion or pneumothorax . The cardiac silhouette is not enlarged .
    OUTPUT:
    
Evidence of known metastatic disease including left apical , paramediastinal , left paraspinal masess as seen on prior CT . No pulmonary edema or definite new focal consolidation .