Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are 2 right - sided chest tubes in - situ . There is a persistent moderately large right pleural effusion . There are numerous nodular opacities throughout both lungs consistent with the patient has known metastatic disease . A more focal airspace opacity at the right lung base may reflect atelectasis versus consolidation . No pneumothorax seen .
    OUTPUT:
    
Persistent right pleural effusion , no pneumothorax seen . Multiple nodular opacities consistent with metastatic disease .