Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette size is normal . The mediastinal and hilar contours are unchanged compared to the prior CT . Known mediastinal and hilar lymphadenopathy is better seen on the prior PET - CT . Multiple nodules are seen throughout the lungs compatible with metastatic disease . No focal consolidation , pleural effusion or pneumothorax is appreciated . There are no acute osseous abnormalities .
    OUTPUT:
    
Multiple pulmonary nodules compatible with known metastatic disease . No acute cardiopulmonary abnormality .