Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest radiograph was obtained . Compared to the scout radiograph from a torso CT from ___ , there is increased opacity in the left lower lung , concerning for worsening effusion and consolidation . Extensive nodularity in the lungs is compatible with known metastatic disease . Heart size can not be assessed . Bony structures appear unchanged .
    OUTPUT:
    
Increasing opacity in the left lower lung , concerning for worsening consolidation and effusion . Extensive metastatic disease within the chest . Refer to subsequent CT for further details .