Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs were obtained . Multiple areas of ill - defined opacities are present in bilateral lungs . The cardiomediastinal silhouette and hilar contours are normal . There is no pleural effusion or pneumothorax . There is complete destruction of the right scapula and visualized portion of the right humeral head and lateral clavicle . There is also a fracture of the right mid clavicle .
    OUTPUT:
    
1 . Multiple bilateral lung nodules , consistent with known metastatic disease . 2 . Complete destruction of the right scapula , lateral clavicle , and visualized portion of the humeral head . Right mid clavicle fracture .