Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Port - A - Cath resides over the right chest wall with catheter tip in the region of the right atrium or cavoatrial junction . There is extensive nodular metastasis noted bilaterally which is not significantly changed from the prior exam . There is blunting of the right CP angle suggesting a small right pleural effusion . No signs of pulmonary edema . Difficult to exclude a subtle pneumonia . Cardiomediastinal silhouette is stable . No pneumothorax . Sclerotic appearance of the vertebrae is consistent with known underlying metastatic disease .
    OUTPUT:
    
Extensive metastatic disease with tiny right pleural effusion . Overall , findings appear grossly stable .