Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . Again seen are diffuse bilateral nodular opacities throughout the lungs compatible with patient 's known metastatic disease . No definite new region of consolidation identified . Right - sided pleural effusion appears slightly larger . There is also suggestion of a trace left pleural effusion as well which may be new . There is also increased pleural based opacity involving the right hemithorax more superiorly which could represent loculated fluid or pleural - based metastatic disease which has progressed . Cardiomediastinal silhouette is unchanged as are the osseous and soft tissue structures . New right chest wall port is seen with catheter tip at the RA / SVC junction .
    OUTPUT:
    
Interval enlargement of the right pleural effusion and new trace left pleural effusion . Diffuse nodular opacities compatible with known metastatic disease .