Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Diffuse bilateral parenchymal opacities are seen , most confluent at the right lung base . Findings are likely combination of known underlying metastases although superimposed effusion and / or consolidation are entirely possible . Left chest wall port is seen with catheter tip projecting over the mid SVC . Cardiomediastinal silhouette is grossly unremarkable . No acute osseous abnormalities . Surgical clips project over the right breast .
    OUTPUT:
    
Diffuse bilateral parenchymal opacities , appear worse since prior CT scan and may be combination of metastasis / lymphangitic spread of tumor with possible superimposed consolidation / infection and possible effusion , particularly on the right .