Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided Port - A - Cath tip terminates in the proximal right atrium , unchanged . A moderate to large right pleural effusion has increased substantially in the interval . Heart size is difficult to assess given the presence of the large right pleural effusion . There is associated right basilar atelectasis . Small left pleural effusion is also demonstrated with left basilar opacity , also likely atelectasis . Mediastinal contour is unchanged . Diffuse interstitial opacities with a somewhat ill - defined nodular component is concerning for worsening lymphangitic spread of tumor with metastatic disease . A left basilar chest tube is re - demonstrated . No pneumothorax is present .
    OUTPUT:
    
Worsening diffuse interstitial opacities with a nodular component concerning for worsening lymphangitic spread of tumor and metastatic disease . Substantial interval increase in size of moderate to large right pleural effusion with small left pleural effusion . Bibasilar opacities , likely atelectasis , though tumor is not excluded .