Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest demonstrate an interval increase in the size of the right - sided pleural effusion with adjacent atelectasis , as well as minimal left - sided pleural effusion . There are stable post-radiation changes seen in the right hilum . The patient is status post right lower lobectomy . There has been increase in the number and size of the numerous small nodules in the bilateral lung apices . The mediastinal and hilar contours are unchanged . There is no pneumothorax .
    OUTPUT:
    
1 . No pneumothorax . 2 . Interval increase in the number and size of the numerous small nodules in the bilateral lung apices , consistent with worsening metastatic disease .