Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes remain low on the right with mild elevation of the right hemidiaphragm . Multiple pulmonary nodules are noted in the left lung , these were present on a prior CT chest from ___ and are consistent with metastatic disease . No consolidation or pneumothorax seen . The visualized bony structures are unremarkable in appearance .
    OUTPUT:
    
Multiple left - sided pulmonary nodules consistent with the patient 's known metastatic neuroendocrine tumor . No evidence an acute cardiopulmonary process .