Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded . Multiple patchy opacities throughout the right lung are compatible with known pleural metastasis . Chain sutures in the right upper lung are re-demonstrated , consistent with prior wedge resection . A focal nodularity seen in the left apex was compared with prior CT and corresponds to a focus of fibrosis / scarring . No focal opacities are seen in the right lung concerning for pneumonia . Cardiac size is normal . There is a tortuous aorta with atherosclerotic calcifications of the aortic wall , unchanged . There is no pleural effusion or pneumothorax . An IVC filter is partially imaged .
    OUTPUT:
    
Findings compatible with pleural - based right lung metastasis have not significantly changed compared with prior exam . No new focal opacities suggestive of pneumonia .