Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right basilar chest tube has been removed in the interval with a small to moderate size right pleural effusion appearing increased in size compared to the most recent radiograph . A component of this pleural effusion appears to be loculated laterally . Small left pleural effusion also has increased in the interval . New rounded opacities are seen along the periphery of the right mid lung field measuring up to 19 mm wide . Bibasilar airspace opacities likely reflect areas of compressive atelectasis . Moderate size hiatal hernia is again noted . The cardiac and mediastinal contours otherwise appear unchanged . No pulmonary vascular congestion is demonstrated . Scarring is noted in the lung apices . No pneumothorax is seen . There are no acute osseous abnormalities identified .
    OUTPUT:
    
1 . Increased size of small to moderate bilateral pleural effusions , right greater than left with associated bibasilar atelectasis . 2 . New rounded opacities along the periphery of the right mid lung field which in this patient with known malignancy is concerning for metastases . Further assessment with contrast - enhanced chest CT is recommended .