Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Large right upper lobe mass is again noted . There are bilateral lower lobe metastatic lesions as better seen on the CT from ___ , stable to mildly increased . Right pleural effusion also noted , slightly increased . Mild cardiomegaly and signs of failure are present . Fullness in the hilar region is compatible with the underlying adenopathy .
    OUTPUT:
    
Slight increase in opacities at the right lung base , likely advancing disease and pulmonary effusion .