Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . Right chest wall dual lead lumen catheter seen with tip in the mid to lower SVC . There multifocal nodular opacities in the lungs bilaterally most concerning for metastatic disease . There is a small to moderate left pleural effusion . Underlying atelectasis suspected , possible infection can not be excluded . The cardiac silhouette is enlarged . Atherosclerotic calcifications noted at the arch . Surgical clips project over the lower neck . There are focal areas of osteolysis best noted at the lateral aspect of the right 4th rib .
    OUTPUT:
    
1 . Findings suggestive of metastatic disease including numerous bilateral nodular opacities throughout the lungs and focal regions of osteolysis . 2 . Left basilar opacity at least in part due to an effusion and likely underlying atelectasis noting that infection could not be excluded . CT chest may help further evaluate .