Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been no significant interval change to the appearance of the chest with very low lung volumes and bilateral pleural effusions , right greater than left . There is bibasilar atelectasis and central pulmonary vascular congestion . The cardiac silhouette is unchanged . A right chest Port - A - Cath terminates at the cavoatrial junction . No pneumothorax is present . Extensive sclerotic foci seen throughout the skeleton is consistent with known metastatic breast cancer and better assessed on the prior CT scan
    OUTPUT:
    
1 . No significant interval change with low lung volumes and bilateral pleural effusions and bibasilar atelectasis . 2 . Extensive skeletal metastases