Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . The pulmonary vasculature has increased consistent with moderate pulmonary vascular congestion / pulmonary edema . Nodular opacity projecting in the right upper lobe and right lower lobe may be osseous or pulmonary in nature ; could relate to known pulmonary metastases ; repeat after diuresis may be helpful for further evaluation . There is linear left base atelectasis / scarring . The cardiac silhouette is top normal to mildly enlarged . The aorta remains tortuous . There may be a small left pleural effusion . The patient is status post kyphoplasty / vertebroplasty of lower thoracic spine .
    OUTPUT:
    
Increased pulmonary vascular congestion / pulmonary edema . Two right - sided nodular opacities may be osseous or pulmonary . The patient has known pulmonary metastases , although difficult to accurately compare change with prior CT from ___ , given differences in modality . Consider followup radiographs after diuresis for better evaluation .