Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left port is seen terminating at the cavoatrial junction . A left hilar mass consistent with lymphadenopathy and paramediastinal fibrosis is seen . There are also multiple nodules on the right lung consistent with multiple metastases better characterized on CT dated ___ . There is no pleural effusion .
    OUTPUT:
    
There is little change in the lymphadenopathy and probable hematogenous metastases to the right lung .