Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right IJ central venous catheter ends in the right atrium . It can be withdrawn approximately 4 .0 cm for positioning at the cavoatrial junction . There is no pneumothorax . Multiple bilateral pulmonary masses including the largest left apical mass are re - demonstrated . Cardiomediastinal silhouette is normal in size . There is no pleural effusion .
    OUTPUT:
    
1 . Right IJ central venous catheter ends in the right atrium and can be retracted approximately 4 .0 cm if desired positioning is cavoatrial . No pneumothorax . 2 . Bilateral lung masses , consistent with metastatic disease .