Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Large opacity projecting over the right mid to lower lung is worrisome for large pleural effusion with overlying atelectasis , underlying consolidation or pulmonary in mass may be present . There are increased interstitial markings bilaterally , underlying metastatic disease is not excluded . No large left pleural effusion is seen . There is no pneumothorax . Left - sided Port - A - Cath is seen , distal aspect not well seen due to the right lung opacity . The right aspect of the cardiac silhouette is obscured by the right sided opacity . Mediastinal contours are grossly unremarkable . Surgical clips are noted overlying the right hemi thorax . Sclerotic heterogeneous the osseous structures including the spine and sternum are worrisome for metastatic disease .
    OUTPUT:
    
Large area of opacity projecting over the right mid to lower lung is concerning for large pleural effusion , underlying consolidation for pulmonary mass not excluded . Increased interstitial markings bilaterally , pulmonary metastatic disease not excluded . Heterogeneity to the osseous structures including the spine concerning for metastases .