Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to the prior radiograph , there is a little change in the haziness at the right lower lobe , a combination of atelectasis and scarring as well as the numerous pulmonary metastases better seen on the chest CT . Numerous rounded opacities of the right upper lobe compatible with metastases . There is no focal consolidation to suggest pneumonia . There is no significant pleural effusion . The heart size remains within normal limits . A hiatal hernia is again noted .
    OUTPUT:
    
No acute cardiopulmonary process . Numerous pulmonary metastases better seen on the prior chest CT .