Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Innumerable pulmonary nodules scattered throughout the lungs , concerning for metastatic disease . A more confluent opacity in the right lower ___ , ___ represent infection or a larger focal metastasis . Cardiomediastinal silhouette is normal . There is no large pleural effusion or pneumothorax .
    OUTPUT:
    
Innumerable pulmonary nodules scattered throughout the lungs concerning for metastatic disease . A more confluent opacity in the right lower ___ likely represents a combination of a focal dominant metastatic lesion and developing pneumonia . Consider chest CT for more complete characterization if warranted clinically .