Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided AICD device is noted with lead terminating in the right ventricle , unchanged . Right - sided Port - A - Cath tip also is re - demonstrated anterior terminates within the proximal right atrium , unchanged . Left basilar chest tube is re- demonstrated , in similar location . Heart size remains mildly enlarged . Mediastinal contours are stable . Hazy opacification of the right lung is new compared to the prior exam and could reflect asymmetric pulmonary edema or infection . Increased interstitial and nodular opacities within the left lung are similar compared to the prior study with unchanged dominant lesion in the left mid lung field , previously demonstrated to be located along the major fissure . Moderate size left pleural effusion is unchanged . No right - sided pleural effusion or pneumothorax is seen . Known nodular opacities within the right lung are better demonstrated on the prior CT . There is no pneumothorax . Inferior vena cava filter is visualized within the upper abdomen . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . New hazy opacification of the right lung which could reflect asymmetric pulmonary edema or an atypical infectious process . 2 . Lesion along the left major fissure as well as multiple other smaller nodules in both lungs are relatively unchanged , compatible with metastatic disease . Interstitial opacities in the left lung are compatible with lymphangitic spread of the tumor . 3 . Moderate size left pleural effusion .