Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Double - lumen Port - A - Cath terminates in the right atrium . Lung volumes are low . Multiple lung nodules and masses , better depicted on prior CTA of the chest may have grown since ___ . There is no new focal opacity to suggest pneumonia . Heart size normal . There is no large pleural effusion or pneumothorax .
    OUTPUT:
    
Multiple pulmonary nodules and mediastinal adenopathy , may be growing rapidly . No evidence of pneumonia .