Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright chest radiograph ___ at 05 : 17 is submitted .
    OUTPUT:
    
There are numerous bilateral pulmonary nodules consistent with metastatic disease . There is an increasing right pleural effusion and increasing consolidation at the right base which may reflect compressive lower lobe atelectasis , although pneumonia can not be excluded . A right internal jugular Port - A - Cath is unchanged in position . No pneumothorax is seen . Overall cardiac and mediastinal contours are likely not changed although difficult to assess due to the diffuse pulmonary metastases .