Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . Spiculated mass within the upper lobe anteriorly is relatively unchanged compared to the prior exams . Multiple nodules are scattered throughout both lungs compatible with metastatic lesions . No focal consolidation , pleural effusion or pneumothorax is identified . No pulmonary vascular congestion is present . There is dextroscoliosis of the thoracic spine .
    OUTPUT:
    
Unchanged left upper lobe lung mass compatible with known malignancy and multiple bilateral pulmonary metastases .