Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The scout view of the recent prior chest CT can be directly compared to the current radiographs . The recent prior CT , which was performed to assess metastatic disease , showed multiple pulmonary nodules and a moderate right - sided pleural effusion , also evident on this examination . It is difficult to precisely compare to the scout view allowing for differences in technique , but there is no definitive change . Overall , volume loss of the right hemithorax including elevation , mild - to - moderate degree of the right hemidiaphragm is probably similar . The cardiac , mediastinal , and hilar contours are unchanged . Bony structures were better evaluated on the recent prior examination .
    OUTPUT:
    
Findings suggesting widespread metastatic disease as seen on recent prior examination . There is no definite change allowing for differences in technique . However , given background opacification and difficulty comparing different techniques , if symptoms were to persist , then short - term followup standard PA and lateral radiographs may be helpful to evaluate further .