Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are stable . A right chest tube terminates at the right lung base . A moderate right pleural effusion is noted , slightly larger . There is no pneumothorax . Extensive bilateral parenchymal opacities appear grossly similar , consistent with lymphangitic spread of disease . There is no new opacity .
    OUTPUT:
    
Moderate right pleural effusion with extensive bilateral parenchymal opacities , consistent with lymphangitic spread of malignancy .