Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right Port - A - Cath terminates in the proximal to mid SVC . Interval increase in well left hemi thorax opacity worrisome for progression of known metastatic disease and increase in left hydrothorax , with more fluid at the left apex , and with small pneumothorax remaining . There are innumerable nodular opacities bilaterally consistent with extensive metastatic disease and lymphangitic carcinomatosis . Spiculated opacity in the left juxta hilar region likely corresponds to patient 's mass , concern for increase size since the prior study .
    OUTPUT:
    
Extensive pulmonary metastatic disease , progressed . Interval increase in pleural fluid at the left lung apex with small pneumothorax remaining .