Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Port - A - Cath resides over the right chest wall with catheter extending into the right atrium . Extensive bilateral nodular opacities throughout both lungs compatible with metastatic disease appear unchanged . No signs of superimposed pneumonia . No large effusion or pneumothorax is seen . Cardiomediastinal silhouette is stable . Areas of sclerotic bony metastasis again noted .
    OUTPUT:
    
Extensive pulmonary metastatic disease without signs of superimposed acute process . Osseous metastasis again seen . Port - A - Cath tip in the right atrium .