Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest tube is demonstrated with tip projecting over the aortic knob , in similar position compared to the previous exam . Moderate size left pleural effusion is not substantially changed in the interval with continued left diaphragmatic elevation . Left basilar opacity likely reflects compressive atelectasis . Multiple nodular opacities are again seen within the right right lung compatible with metastases . Cardiac and mediastinal contours are unchanged with contour bulge in the region of the AP window compatible with underlying mediastinal lymphadenopathy . No pneumothorax or right - sided pleural effusion is demonstrated . Right basilar calcified pleural plaques are again noted . Numerous left - sided axillary clips are again noted .
    OUTPUT:
    
No substantial interval change from the previous exam with unchanged left diaphragmatic elevation , moderate size left pleural effusion , and left basilar atelectasis . Similar appearance of multiple pulmonary nodules compatible with metastatic disease and mediastinal lymphadenopathy .