Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are normal . There is no pneumothorax . Bilateral pleural thickening is noted . Lungs are well - expanded . Multiple small nodular opacities are consistent with patient 's known metastatic disease . There is no new focal consolidation concerning for pneumonia . The upper abdomen is unremarkable . The visualized osseous structures are within normal limits .
    OUTPUT:
    
1 . Pleural thickening , similar to prior . No worsening pleural effusion or evidence of other acute cardiopulmonary process . 2 . Multiple small nodular opacities , consistent with patient 's known metastatic disease .