Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Persistent diffuse bilateral micronodular pattern in both lungs is overall unchanged . Sutures , scarring , atelectasis in the left lung remain stable in appearance . Moderate left pleural effusion has increased in size appear . Peaking of the right hemidiaphragm is of uncertain etiology and may represent a small right pleural effusion . There is no substantial change in the lung parenchyma to suggest edema or pneumonia . No pneumothorax .
    OUTPUT:
    
1 . Stable appearance of diffuse bilateral micronodular pattern in both lungs , consistent with known metastatic disease . 2 . Increased moderate left pleural and likely small right effusions .