Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again , there is near - complete opacification of the right lung due to a combination of effusion , consolidation , and tumor burden . In the left lung , the patchy rounded opacities have increased since the prior radiograph performed five hours prior . There is likely a trace left pleural effusion . There is no pneumothorax . The cardiomediastinal silhouette is normal . The osseous structures demonstrate increased density , consistent with diffuse metastatic disease .
    OUTPUT:
    
1 . Increasing patchy consolidation of the left lung . Given the short time interval , this change is likely either due to worsening infection , edema , or hemorrhage , rather than tumor spread superimposed on the known metastases . 2 . Stable near - complete opacification of the right lung from effusion , consolidation , and tumor burder . 3 . Diffuse widespread osseous metastases .