Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is complete opacification of the right hemi thorax with leftward deviation of mediastinal structures compatible with a large right pleural effusion . The heart size is difficult to assess , but appears to be mildly enlarged . Left lung is hyperinflated without focal consolidation . There appears to be tiny nodular opacities noted throughout the left lung . No pneumothorax is seen . The osseous structures appear diffusely mottled with several lucent expansile lesions in the right lateral ribs . S shaped scoliosis of the thoracic spine is noted .
    OUTPUT:
    
1 . Complete opacification of the right hemi thorax with leftward shift of mediastinal structures most compatible with a large right pleural effusion . 2 . Scattered osseous lesions and tiny nodular opacities in the left lung concerning for metastatic disease .