Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided Port -A - Cath is again seen , terminating in the mid-to - lower SVC . There are patchy opacities bilaterally in the lungs , most confluent in the right mid - to - lower lung region but also seen in the periphery of the left lung . There is also slight prominence of the central pulmonary vasculature . There is slight blunting of the right costophrenic angle and a small pleural effusion may be present . No pneumothorax is seen . The cardiac and mediastinal silhouettes are grossly stable . The cardiac silhouette appears top normal to mildly enlarged .
    OUTPUT:
    
Bilateral pulmonary opacities worrisome for multifocal infection . However , given history of malignancy , underlying metastatic disease may also be present . Possible superimposed mild fluid overload . Small right pleural effusion .