Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient has a history of multiple lung nodules secondary to metastases from breast cancer . Bilateral pleural effusion , more prominent on the left side , has slightly increased . There is no pneumothorax . The mediastinal and cardiac contours are within normal limits . Left subclavian line is in adequate position .
    OUTPUT:
    
Patient with multiple lung metastases from breast cancer . Slight progression of small bilateral pleural effusion .