Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior study , there has been interval increase in the left - sided pleural effusion which is now large in size . There is also a small right pleural effusion . Multiple known metastatic lesion secondary to breast cancer are again seen . A left - sided Port - A - Cath is in standard position , unchanged since the prior study . A right - sided Pleurx catheter is again seen .
    OUTPUT:
    
Interval increase in large left pleural effusion . Small right pleural effusion . No evidence of pneumothorax .