Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . As compared with recent CT chest from ___ , bilateral pleural effusions persist , left greater than right . There is increasing collapse of the left lower lobe . A left perihilar opacity corresponds with a left upper lobe metastatic lesions seen on recent CT . Additional scattered nodular foci within the lungs are consistent with metastatic disease better assessed on prior CT . There is no pneumothorax . No edema . Heart size appears grossly unchanged . Mediastinal contour is stable . Bony structures are intact .
    OUTPUT:
    
Worsening left lower lobe collapse with bilateral pleural effusions again noted left greater than right . Difficult to exclude a superimposed pneumonia in the left lower lung . Scattered metastatic lesions better assessed on prior CT .