Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were reviewed and compared to the prior studies . Multiple new rounded opacities are scattered throughout both lungs , the largest is located in the left lower lung . The smaller ones are located in the right lung apex and left mid lung . Given the clinical history of cancer and the rapid rate of growth , these lesions are consistent with metastatic disease . Assessment of the cardiac and mediastinal contours is limited due to these lesions ; however , both are relatively unchanged . There is no vascular congestion , pleural effusion , or pneumothorax . No definite rib fracture .
    OUTPUT:
    
Multiple bilateral round opacities of varying sizes , consistent with metastatic disease . No definite rib fracture . If there is continued clinical concern for a rib fracture oblique views are recommended .