Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is normal . Mediastinal contour is unchanged , with widening of the right paratracheal stripe compatible with underlying lymphadenopathy , not substantially changed in the interval . Hilar contours are obscured though likely enlarged due to lymphadenopathy . There is near - total opacification of the right lung , perhaps minimally increased compared to the previous radiograph , reflecting a combination of pulmonary metastases , right middle lobe collapse , and lymphangitic spread of tumor . Similar findings are also noted in the left lung , but are less pronounced , and this asymmetry again may be due to the presence of superimposed infection . No large pleural effusion or pneumothorax is present . No acute osseous abnormalities detected .
    OUTPUT:
    
Perhaps slight interval worsening of near total opacification of the right lung due to metastatic disease with lymphangitic spread of tumor and right middle lobe collapse . Similar findings of diffuse metastatic disease are seen in the left lung though to a lesser extent , and this asymmetry again may be due to the presence of superimposed infection in the right lung .