Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is again seen a right - sided port with distal tip in stable position in the lower SVC . There is extrinsic compression of the extrathoracic trachea with marked narrowing of the airway , consistent with previously described right arytenoid lesion seen on CT in ___ . There is widening of the right paratracheal stripe which suggests paratracheal adenopathy , as well as bilateral right greater than left hilar prominence consistent with known hilar lymphadenopathy , as seen on recent CT . The cardiac silhouette is normal . There are again seen multiple nodular opacities throughout both lungs , increased in both number and size in comparison to recent CT scan on ___ . Again seen is the right lower lobe dominant nodular opacity surrounding the fiducial marker , which appears to have increased in size in comparison to recent CT . These findings are consistent with progressive metastatic disease . There are no additional focal lung consolidations or opacities concerning for superimposed or secondary process such as pneumonia . There are no pneumothoraces or effusions . There is no evidence of pulmonary vascular congestion or edema .
    OUTPUT:
    
1 . Extrinsic compression of extrathoracic trachea with marked narrowing , consistent with previously described right arytenoid lesion . Recommend direct visualization for further assessment if not yet performed . 2 . Increase in number and size of multiple bilateral metastatic lung nodules , including increase in size of right lower lobe dominant mass .