Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided Port - A - Cath tip terminates in the lower SVC . The heart size is normal . Mediastinal and hilar contours are unremarkable . Multiple rounded nodules and masses are present in both lungs , increased in size and number compared to the prior radiograph with the largest in the right lower lobe measuring up to 4 cm . No focal consolidation , pleural effusion or pneumothorax is present . No acute osseous abnormalities demonstrated . Dextroscoliosis of the thoracic spine is noted .
    OUTPUT:
    
Multiple nodules and masses in the lungs compatible with metastatic disease . No focal consolidation to suggest pneumonia .