Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . Since the prior CT torso , there has been no significant change with innumerable bilateral pulmonary metastatic lesions again seen . Evaluation for superimposed pneumonia limited given the extensive metastatic burden , though no clear sign of superimposed pneumonia , effusion , or pneumothorax . Overall , cardiomediastinal silhouette is unchanged . Bony structures appear intact .
    OUTPUT:
    
Innumerable pulmonary metastatic disease with no gross signs of superimposed acute process . Please refer to subsequent CT for further details .