Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are low in volume and show three right lung nodules measuring 14 mm in the right upper lobe and ___ and 16 mm in the right lower lobe . A left lower lobe lesion is better seen on the concurrently performed abdomen and pelvis CT . The cardiomediastinal silhouette and hilar contours are normal . No pleural effusion or pneumothorax is present . An anterior cervical fusion device is partially imaged .
    OUTPUT:
    
No acute intrathoracic process . Right pulmonary metastases have increased in size .