Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral images of the chest demonstrate near - complete opacification of the right lung which is unchanged from most recent chest radiograph . This is associated with right volume loss . There is a small left pleural effusion again seen , unchanged . Multiple left - sided pulmonary nodules are again seen . The left lung is otherwise again seen to be clear . Cardiomediastinal silhouette is obscured by the large right effusion . Two vertebral bodies at the level of the left hemidiaphragm are seen to be of increased opacity , consistent with patient 's history of metastatic disease .
    OUTPUT:
    
Unchanged chest radiograph with persistent near - complete opacification of the right hemithorax .