Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided Port - A - Cath tip terminates within the deep right atrium . Large right pleural effusion appears increased in size compared to the previous exam . Bilateral hilar and mediastinal masses compatible with known metastatic lymphadenopathy are re-demonstrated . Right basilar opacification likely reflects atelectasis . Left lung demonstrates no focal consolidation . Small left pleural effusion is noted . There is no pneumothorax . No pulmonary vascular congestion is evident . There are multilevel degenerative changes of the imaged thoracolumbar spine .
    OUTPUT:
    
1 . Increased size of large right pleural effusion with right basilar compressive atelectasis . Trace left pleural effusion . 2 . Unchanged mediastinal and hilar lymphadenopathy .