Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Large right pleural effusion is similar to recent CT scan allowing for positional differences , and likely has a subpulmonic component . Adjacent atelectasis persists in the right middle and right lower lobes . Within the left lung , several nodules are visualized , and have been more fully evaluated by CT . Known right lung nodules are partially obscured by the pleural effusion and atelectasis . Known destructive right rib lesions are seen to better detail on prior CT .
    OUTPUT:
    
1 . Persistent large right pleural effusion with likely subpulmonic component . 2 . Multiple pulmonary nodules consistent with metastatic renal cell carcinoma . Known destructive right rib lesions are seen to better detail on prior CT .