Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette is upper limits of normal in size . Mediastinal and hilar contours are stable . Widespread pulmonary metastases are again demonstrated , with a dominant 3 .3 - cm diameter peripheral mass in the lingula . On the lateral view , increasing confluent opacity is seen overlying the lower thoracic spine as compared to the lateral chest radiograph of ___ , with associated partial obscuration of the right hemidiaphragm . Small right pleural effusion is present , similar to ___ radiograph .
    OUTPUT:
    
1 . Widespread pulmonary metastases . 2 . Dependent consolidation overlying the lower thoracic spine on lateral chest x-ray , which could be due to an infectious pneumonia in the appropriate clinical setting . 3 . Small pleural effusions .