Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are provided . Port - A - Cath resides over the left chest wall with catheter tip extending to the level of the SVC . Multiple bilateral pulmonary nodules are compatible with known metastatic disease . Mild elevation of the right hemidiaphragm is noted with tiny right pleural effusion . No convincing signs of pneumonia . The cardiomediastinal silhouette appears stable . Bony structures appear intact . No free air below the right hemidiaphragm .
    OUTPUT:
    
Multiple pulmonary nodules compatible with known metastatic disease . Tiny right pleural effusion .