Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen are two metastatic pulmonary nodules measuring 2 .9 x 2 .6 cm in the anterior segment of the left upper lobe , and 2 x 1 .4 cm at the junction of the left upper lobe and lingula , within the inferior portion of the left major fissure . Other known pulmonary metastases are not well visualized by radiography . There is increased prominence of the hila and upper mediastinum , which may represent new lymphadenopathy . Increased discoid atelectasis is present in the left lower lobe , without focal consolidation . There is no pulmonary venous congestion or edema . No pleural effusions or pneumothorax . Cardiomediastinal silhouette is normal .
    OUTPUT:
    
1 . Possible new intrathoracic lymphadenopathy , which could be better evaluated by CT if clinically warranted . 2 . Increased left lower lobe atelectasis . 3 . Unchanged pulmonary metastases .