Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a right - sided Port - A - Cath , distal aspect not well seen , but may be terminating in the low SVC . There has been interval development of large area of opacity projecting over the left hemithorax , particularly in the left mid - to - lower lung which may be due to infection , malignancy , and possibly underlying atelectasis . Additionally , multiple nodular opacities , projecting over the right mid - to - lower lung which may be due to pulmonary nodules and possible metastatic disease . There is likely a moderate left pleural effusion . The cardiac silhouette is not well assessed due to the large opacity . The superior mediastinum is not widened . There is also likely soft tissue thickening along the left medial mediastinum .
    OUTPUT:
    
Large area of opacity projecting over the left hemithorax , which may be due to malignancy , infection , with possible underlying lung collapse as well as there is a left pleural effusion . Nodular opacities projecting over the right mid - to - lower lung raise concern for pulmonary nodules , which could be metastatic .