Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Port - A - Cath terminates in cavoatrial junction , unchanged . The right chest tube is in unchanged position . Right - sided pleural effusion , also seen in the right minor fissure , is grossly unchanged . Underlying right lower lobe atelectasis is unchanged . Multiple nodular opacities consistent with metastatic disease seen on CT chest in ___ are unchanged . No obvious new consolidations . No pneumothorax . No left pleural effusion . The cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
1 . Stable right - sided pleural effusion . No new acute cardiopulmonary process . 2 . Multiple nodular opacities consistent with pulmonary metastases are unchanged .