Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is mildly enlarged . The mediastinum remains widened superiorly particularly the right paratracheal stripe compatible with known lymphadenopathy . Fullness of the right hilum is similar compared to the previous CT and also likely reflective of underlying lymphadenopathy . The pulmonary vasculature is normal . Scattered ill - defined nodular opacities bilaterally likely reflect known metastatic disease , but is likely somewhat improved compared to the previous CT exam . Curvilinear and patchy bibasilar opacities may reflect atelectasis . No focal consolidation , pleural effusion or pneumothorax is present . No acute osseous abnormality is visualized .
    OUTPUT:
    
Diffuse pulmonary metastatic disease appears grossly improved compared to the prior CT , with patchy bibasilar opacities likely reflective of atelectasis . Mediastinal and right hilar lymphadenopathy is re - demonstrated .