Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest radiograph ___ at 12 : 10 is submitted .
    OUTPUT:
    
Right Port - A - Cath unchanged in position . There is a layering left effusion and a loculated right pleural effusion including fluid within the horizontal fissure . No pneumothorax is seen . Overall cardiac and mediastinal contours are stable . No pulmonary edema . Scattered nodular opacities in both lungs concerning for metastatic disease are better appreciated on the recent chest CT dated ___ .