Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs continue to have bilateral pulmonary nodules which appear to have increased in size and possibly number . No focal consolidation is seen . There is no evidence of pulmonary edema , pleural effusions or pneumothorax . The cardiac and mediastinal contours are stable .
    OUTPUT:
    
Bilateral pulmonary metastatic nodules appear increased in size and possibly number . No definite focal consolidation to suggest pneumonia .