Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is significant change in size of the well - circumscribed pleural lesion abutting the right chest wall as well as new well - circumscribed pleural lesions noted in the right apex corresponding with metastatic disease better seen on recent CT . Known right pleural effusions with probable small left pleural effusion and right chest tube in expected position . Cardiac size is normal . There is no pneumothorax .
    OUTPUT:
    
Enlarging pleural - based masses abutting the right chest wall consistent with known metastatic disease better seen on prior CT . Moderate right pleural effusion with right chest tube in expected position and no pneumothorax .