Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained . Patient is known to have extensive metastatic disease within the chest with loculated left pleural effusion . Overall appearance of the chest appears essentially stable compared with multiple prior exams . Please note evaluation for subtle differences would be limited due to extensive underlying metastatic burden . Heart size can not be readily assessed . Mediastinal contour appears grossly stable . No pneumothorax is seen . Imaged osseous structures appear grossly intact .
    OUTPUT:
    
Extensive metastatic disease in the chest , which appears grossly stable compared with prior exams .