Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left bronchial stent appears in unchanged position . There is complete collapse of the left lower lobe , with contiguous large mass in the lingula . Left pleural effusion has increased in size in the interval and is now moderate to large . Again demonstrated are multiple additional bilateral pulmonary nodules , consistent with diffuse metastases . No pneumothorax . Cardiac silhouette is enlarged .
    OUTPUT:
    
1 . Enlarging left pleural effusion . Persistent collapse of left lower lobe . 2 . Known large lingular mass and diffuse pulmonary metastases are again seen .