Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . Numerous pulmonary metastatic lesions are identified . Since CT , the right pleural effusion has increased . There is associated right lower lobe atelectasis . Evaluation for underlying pneumonia is limited . No pneumothorax is seen . Bony structures appear grossly intact . There is a right chest wall Port - A - Cath with tip projecting over the low SVC .
    OUTPUT:
    
Increasing size of right pleural effusion with right basal atelectasis , can not exclude pneumonia . Extensive pulmonary metastatic disease .