Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Re - demonstrated is extensive nodular pleural thickening involving the right lung compatible with metastatic pleural disease . Persistent opacification within the right lung base appears to represent a combination of right basilar atelectasis and small right effusion with known pleural deposits . Overall , compared to the prior chest radiograph , disease within the right lung appears to have progressed , but appears unchanged compared to the most recent chest CTA allowing for differences in technique . Multiple nodules within the left lung have also increased in size and number compared to the prior chest radiograph . Small left pleural effusion is new compared to the prior chest radiograph but was seen on the prior chest CT . The cardiac , mediastinal and hilar contours appear relatively unchanged . No pneumothorax . No acute osseous lesion is definitively noted .
    OUTPUT:
    
Compared to the prior chest radiograph , there has been interval progression of disease with increased size and number of pulmonary nodules , and worsening metastatic disease within the right hemithorax . Small left pleural effusion . Persistent right basilar opacification reflecting a combination of pleural effusion , right basilar atelectasis , and pleural based disease .