Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided Port - A - Cath tip terminates in the SVC / right atrial junction . Diffuse reticular and nodular opacities are again noted with worsening alveolar opacities , and interval increase in size of small to moderate right and small left pleural effusions . Increased fluid is seen loculated along the right lateral hemithorax . Previously noted right apical pneumothorax is no longer seen . Cardiac and mediastinal contours are difficult to evaluate but appear relatively unchanged .
    OUTPUT:
    
Worsening diffuse parenchymal opacities likely reflecting widespread metastatic disease with superimposed worsening pulmonary edema . Increased bilateral pleural effusions , small to moderate on the right and small on the left .