Right pulmonary pleural based nodules suspicious for metastasesnsive hepatic metastases means?

See details. Please ask this question to the doctor who ordered the tests. That doctor is the only one who can put this result in context for you. The reading, unfortunately, suggests the underlying cause is a malignancy. However, there are other possible causes. That is why your own doctor will be the best one to provide an answer.
Concerning. You need to talk to your doctor to understand better, but the report says is concerning for lung and liver cancer spots. This doesn't necessarily mean cancer, but you need to follow up to be sure.