Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No pneumothorax identified . Again noted are multiple opacities throughout both lungs . There are small bilateral pleural effusions , greater on the right . The size of the cardiomediastinal silhouette is within normal limits . Surgical clips project over both axillary regions .
    OUTPUT:
    
No pneumothorax identified . Small bilateral pleural effusions . Known bilateral lung opacities likely reflective of metastatic disease although superimposed infection can not be excluded .