Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Numerous bilateral pulmonary nodular lesions consistent with metastases are overall more conspicuous as compared to the prior study . No definite new focal consolidation is seen . There is persistent blunting of the costophrenic angles , suggesting small pleural effusions , increased at least on the right . No pneumothorax is seen . The cardiac and mediastinal silhouettes are stable . Left - sided Port - A - Cath terminates in the proximal right atrium .
    OUTPUT:
    
Multiple bilateral pulmonary nodules overall appear more conspicuous as compared to the prior study , which may be due to differences in technique / penetration , although is concerning for slight progression of disease . No definite new focal consolidation seen . Small right pleural effusion , new / increased compared to the prior study . Persistent blunting of the left costophrenic angle .