Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs demonstrate unchanged examination with a large right pleural effusion with extension into an incomplete fissure . Multiple predominantly peripheral pulmonary nodules are consistent with metastases . There is a stable irregular right hilar mass . No left - sided effusion is present . No new pneumothorax identified .
    OUTPUT:
    
Unchanged examination with stable large right pleural effusion with apical extension . Right hilar opacification with multiple metastatic pulmonary nodules .