Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are bilateral pleural effusions as were seen on prior CT from ___ . There is patchy consolidation in the right upper lung which is also new . Cardiomediastinal silhouette is grossly stable . Sclerotic areas involving the bilateral proximal humeri are compatible with patient 's metastatic disease .
    OUTPUT:
    
Persistent bilateral pleural effusions . New patchy consolidation in the right upper lung which could certainly represent pneumonia . Sclerotic metastases as previously seen .