Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Large right pleural effusion has increased with associated right lung collapse . Small left pleural effusion is also seen . Numerous mediastinal adenopathy consistent with previous tumor burden seen on last CT scan . No focal consolidation or pulmonary edema is seen .
    OUTPUT:
    
Increased right pleural effusion with associated right lower lobe collapse . Small left pleural effusion . Mediastinal tumor metastases as seen in previous CT scan .