Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright portable chest radiograph was provided . As seen on prior , there is evidence of prior right pneumonectomy with complete opacification of the right hemithorax . There is increase in multiple lung nodules as seen on prior with increase in left pleural effusion . Large consolidative mass at the left lower lobe is retrocardiac opacity . There is no pneumothorax . Heart and mediastinal structures are slightly shifted to the right . Bony structures are intact .
    OUTPUT:
    
Worsening metastatic disease in the left lung with small left effusion . Status post right pneumonectomy .