Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multiple bilateral pulmonary nodules suggestive of pulmonary metastases . Elevated right hemidiaphragm , but it has maintained its normal contour ( also seen on previous imaging ) . The cardiomediastinal shadow is normal . No pneumothorax . Right - sided subclavian Port - A - Cath in situ with the tip in the mid to distal SVC . No new airspace consolidation . No pleural effusions .
    OUTPUT:
    
Extensive pulmonary metastasis . No pneumonia .