Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right lower lobe consolidation is probably similar to the recent study allowing for differences in lung volumes . Small - to - moderate right pleural effusion is also similar . Cardiac silhouette is normal in size . Fullness in the right lower mediastinal and hilar regions is unchanged , and widespread pulmonary nodules are similar to the recent study as well .
    OUTPUT:
    
1 . Persistent right lower lobe pneumonia and adjacent small - to - moderate pleural effusion . 2 . Widespread pulmonary metastases .