Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided Port - A - Cath tip terminates in the SVC / right atrial junction . Right basilar chest tube is demonstrated with a moderate size right pleural effusion , not substantially changed from ___ . Right basilar opacification likely reflects atelectasis , not substantially changed in the interval . Innumerable nodules within the lungs are compatible with metastatic disease . Cardiac and mediastinal contours appear unchanged with widening of the right paratracheal stripe compatible with known lymphadenopathy . No left - sided pleural effusion or pneumothorax is identified . No definite pulmonary edema seen .
    OUTPUT:
    
Persistent moderate size right pleural effusion , not substantially changed in size compared to the prior exam , with a right basilar chest tube in place . Continued right basilar atelectasis . Innumerable pulmonary metastases , better assessed on prior CT along with mediastinal lymphadenopathy .