Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained . Since the prior exams , there is significant interval increase in the ill - defined opacity involving the majority of right hemithorax which is concerning for disease progression . The possibility of a superimposed contusion given the history of trauma is impossible to exclude . There may be a trace right pleural effusion . There is subtle opacity at the left lung base which is new though most likely represents metastatic disease . In addition a small area of nodularity in the left upper lung is most compatible with metastatic disease . Cardiomediastinal silhouette appears stable . Bony structures appear grossly intact . No definite displaced rib fractures are identified .
    OUTPUT:
    
Findings concerning for worsening metastatic disease in the chest .