Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right pleural effusion may appear slightly worse with improvement of the left pleural effusion . Retrocardiac opacity and right pleural thickening reflects metastatic disease as noted on the recent CT . The patient is status post gastric pull - through and esophageal stenting . A right Port - A - Cath is in stable position .
    OUTPUT:
    
Possible increase of the right pleural effusion with improvement of the left pleural effusion .