Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval placement of a right - sided internal jugular central venous line , with the tip seen terminating within the lower SVC . No associated pneumothorax identified . Redemonstrated are small , bilateral , parenchymal opacities which likely correspond with the patient 's known metastatic disease . A small , left pleural effusion is again noted . Mild , interstitial pulmonary edema is seen . There is no lobar consolidation identified . Moderate cardiomegaly is noted . Mediastinal and hilar contours are stable . Sternotomy wires are noted to be well aligned .
    OUTPUT:
    
1 . Bilateral , diffuse wispy opacities which likely represent the patient 's known metastatic disease . A dedicated CT chest examination is recommended for further characterization . 2 . Moderate cardiomegaly , mild interstial pulonary edema , and a small left pleural effusion .