Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable frontal chest radiograph demonstrates a largely stable appearance of numerous pleural metastases , right greater than left . There is no definite effusion , there is no pneumothorax . The heart remains markedly enlarged . The mediastinal contours are notable for thickening of the right paratracheal stripe , which is likely vascular . The pulmonary vasculature is normal . There is minimal atelectasis which is stable in appearance in the left lower lung .
    OUTPUT:
    
1 . Largely stable appearance of pleural based metastasis . 2 . Marked cardiac enlargement , not significantly changed compared with prior . 3 . Minimal bibasilar atelectasis , stable .