Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube terminates 3 .2 cm above the carina . NG tube extends into the stomach . Right Port - A - Cath terminates in the lower SVC . Normal mediastinal contours . No cardiomegaly . Large , layering right pleural effusion previously visualized on CTA chest from ___ at 06 :51 is likely secondary to known metastatic disease .
    OUTPUT:
    
Large , layering right pleural effusion likely secondary to known metastatic disease . Right Port - A - Cath terminates in the lower SVC .