Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright portable chest radiograph is obtained . Overall , there is no significant change from the recent CT performed ___ with innumerable metastatic nodularity involving both lungs and large consolidation occupying the right lower lung with a small to moderate right pleural effusion . There is no new area of atelectasis or new area of confluent opacity to suggest a superimposed pneumonia , though given the extensive underlying lung disease , a subtle acute process would be impossible to exclude . Heart size can not be assessed . Mediastinal contour is stable . No pneumothorax is seen . Bony structures appear stable . Known metastatic lesions involving the inferior scapulae are not clearly visualized as well as the recently diagnosed nondisplaced fracture involving the right posterior eighth rib .
    OUTPUT:
    
Overall stable exam with extensive metastatic disease to the lungs with right pleural effusion and right basal consolidation .