Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen are multiple scattered pulmonary metastases bilaterally . Small - to - moderate bilateral pleural effusions , left greater than right , are unchanged since prior exam . There is slight pulmonary edema in the right lower lung . There is no evidence of pneumonia . The cardiac silhouette is partially obscured by the pleural effusions . Left - sided Port -A - Cath is in unchanged position . There is no pneumothorax .
    OUTPUT:
    
Unchanged multiple pulmonary metastases . Small - to - moderate pleural effusions bilaterally . Slight pulmonary edema in right lower lung .