Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Near complete opacification of the right hemi thorax secondary to an enlarging pleural effusion , which is inseparable from the patient 's known anterior chest wall mass . There is mediastinal shift towards the left . The left lung appears grossly well aerated . A left - sided Port - A - Cath terminates within the right atrium . The patient 's known mediastinal / hilar lymphadenopathy and pulmonary metastases are better seen on recent chest CT . No evidence pneumothorax .
    OUTPUT:
    
Interval increased size of an extensive right pleural effusion causing leftward mediastinal shift . Multiple sites of metastatic disease and lymphadenopathy are better assessed on recent CT .