Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac , mediastinal and hilar contours appear unchanged . As before , the left hemidiaphragm is moderately elevated in association with partial atelectasis of the left lower lobe basilar segments . There is no definite pleural effusion or pneumothorax . The lateral view depicts a parasternal mass effacing the usual expected anterior clear space . Metastatic nodules are visible in each lung .
    OUTPUT:
    
Findings consistent with metastatic disease . Persistent left basilar atelectasis and elevation of the left hemidiaphragm , but no clearly acute findings .