Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are multiple pulmonary nodules , the largest in the left imaged hilar region , which appear to have progressed in comparison to the prior chest radiograph . There is biapical pleural thickening . There is bibasilar atelectasis . Heart size is normal . The pulmonary vasculature is normal . No pleural effusion or pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . Multiple pulmonary nodules , which appear to have increased in comparison to the prior chest radiograph and CT , consistent with metastatic disease . 2 . Bibasilar atelectasis , but no evidence of pneumonia .