Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided Port - A - Cath tip terminates at the junction of the SVC and right atrium . Heart size is normal . Again demonstrated is a consolidative opacity within the right perihilar and suprahilar region , unchanged from chest radiograph from ___ but new compared to the CT chest from ___ . Remainder of the mediastinal and hilar contours are unchanged . Spiculated opacity within the right lung base appears new compared to the previous exam from ___ , and likely present on the prior CT but increased in size . Other previously demonstrated nodules throughout the lungs appear grossly unchanged , the largest within the right lower lobe along the minor fissure . No pleural effusion or pneumothorax is present . Clips are seen in the right upper quadrant compatible prior cholecystectomy . Known osseous metastatic lesions are better assessed on the recent CT .
    OUTPUT:
    
1 . Consolidative opacity within the right perihilar region , not substantially changed in the interval . Findings again likely relate to prior radiation changes if there has been such a history . 2 . Diffuse pulmonary nodules compatible with metastases including interval increase in size of at least 1 lesion in the right lower lobe . 3 . Known osseous metastases are better assessed on the previous CT .