Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Multiple pulmonary nodules again noted , largest in the left lower lobe measuring at least 3 .6 cm in diameter . These findings are better assessed on prior CT . No definite signs of superimposed pneumonia . No effusion or pneumothorax . Cardiomediastinal silhouette is stable . Bony structures appear intact .
    OUTPUT:
    
Multiple pulmonary nodules consistent with known lung cancer . No convincing signs of superimposed pneumonia .