Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Right IJ access central venous catheter is seen with its tip in the low SVC . Multiple clips project over the mediastinum . Pleural based opacities along the left hemithorax and lower lung are noted which could represent metastatic disease . Suture material projecting over the left upper lung noted . Bilateral pulmonary opacities are noted , which in reflect fibrosis , carcinomatosis , infection . In the absence of prior imaging , CT is advised to further assess .
    OUTPUT:
    
Extensive bilateral pleural and pulmonary opacities concerning for metastatic disease with areas of fibrosis . Please correlate clinically , CT recommended in the absence of prior imaging to further assess .