Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate size right hydropneumothorax appears relatively unchanged compared to the prior chest CT . The cardiac silhouette size is unchanged , and top normal . Mediastinal and hilar lymphadenopathy is similar when contrast compared to the prior CT . Innumerable metastatic lesions are again seen throughout the lungs . Multifocal opacities within the lung bases and right upper lobe appear unchanged . There are no signs of tension . No acute osseous abnormalities are present .
    OUTPUT:
    
Moderate sized right hydropneumothorax appears relatively unchanged accounting for differences in technique compared to the CT from ___ . No signs of tension . Diffuse metastatic disease again noted , with innumerable nodules bilaterally and areas of consolidation within the lung bases and right upper lobe appearing relatively unchanged .