Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left pleural effusion is decreased and minimal amount remains . Small right pleural effusion is stable . Numerous nodular opacities throughout bilateral lungs are again noted . There is no pneumothorax . Left pectoral pacemaker and its leads are in unchanged positions . Surgical clips are again noted in the thyroid bed .
    OUTPUT:
    
No pneumothorax . Left pleural effusion is decreased with minimal amount remaining . Small right pleural effusion is stable . Pulmonary metastasis .