Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are diffuse osseous metastases . Is moderate to large left pleural effusion with overlying atelectasis . Small right pleural effusion and right base atelectasis is seen . Linear left upper lung atelectasis / scarring is also seen . There is central pulmonary vascular engorgement . Mediastinal contours are grossly unremarkable .
    OUTPUT:
    
Diffuse osseous metastases . Moderate to large left pleural effusion , significantly increased as compared to the prior study from ___ . Small right pleural effusion .