Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP single view of the chest shows stable full opacification of the right lung due to the combination of atelectasis and coexisting effusion . The two right chest tubes are unchanged . Multiple left lung pulmonary metastases are stable . There is no pneumothorax . Cardiomediastinal silhouette is partially obscured by right lung collapse .
    OUTPUT:
    
There are no changes since ___ , with stable collapse and coexisting effusion of the right lung and multiple pulmonary left lung metastases .