Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Large right cardiophrenic angle mass corresponding to bulky epicardial lymph nodes has increased in size since the ___ radiograph but are probably similar to the more recent CT torso of ___ . Additional enlarged nodes are present in the retrosternal region , corresponding to known bilateral internal mammary lymphadenopathy . Lungs and pleural surfaces are clear . Porta catheter remains in standard position .
    OUTPUT:
    
1 . Bulky lymphadenopathy in the bilateral internal mammary and right epicardial regions , consistent with metastatic disease . 2 . No evidence of pneumonia .