Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Study is essentially unchanged from comparison study . There are multiple round nodular opacities which correlate with previously documented metastatic disease . There are no areas of focal consolidation which are suspicious for pneumonia . The left - sided Port - A - Cath is seen in position terminating appropriately within the mid SVC . The cardiomediastinal silhouette is normal . The pleural surfaces are unremarkable . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Evaluation for pneumonia is limited by the presence of multiple metastatic processes . Though pneumonia can not be ruled out , no consolidation suspicious for pneumonia was identified . These findings were reported to Dr . ___ at 11 :08 a .m . via phone by ___ .