Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multiple nodules are again seen in the bilateral lungs , consistent with known metastatic disease . There has been interval recurrence of the large right pleural effusion . There is no left pleural effusion . There is no pneumothorax . The cardiomediastinal silhouette is unremarkable .
    OUTPUT:
    
Interval recurrence of a large right pleural effusion .