Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided Port - A - Cath tip terminates in the lower SVC . Heart size is normal . Mediastinal and hilar contours are unchanged . Pulmonary vasculature is not engorged . Multiple bilateral nodular opacities compatible with metastases are re - demonstrated , not substantially changed from the previous CT . No new focal consolidation , pleural effusion or pneumothorax is present . No acute osseous abnormality is detected . Multiple clips are noted in the right upper quadrant of the abdomen .
    OUTPUT:
    
Re - demonstration of multiple metastases within the lungs . No radiographic evidence for pneumonia .