Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size remains borderline enlarged . The aorta is tortuous with unchanged mediastinal and hilar contours . Previously demonstrated pneumomediastinum on the CT from ___ appears almost completely resolved on the current radiograph . Ill - defined nodular opacities within the right upper lobe and both lung bases appear relatively unchanged , compatible with metastatic disease . More focal opacity in the right lung base may reflect an area of infection . A small right pleural effusion appears unchanged . No pneumothorax is detected . Metallic stent is seen within the common bile duct with multiple clips demonstrated in the right mid abdomen . Extensive vascular calcifications are also seen within the upper abdomen . Surgical anchors project over the right humeral head which appears chronically subluxed with associated degenerative changes .
    OUTPUT:
    
Near complete interval resolution of previously seen pneumomediastinum . Persistent pulmonary metastases and right lower lobe opacity concerning for pneumonia . Unchanged small right pleural effusion .