Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Mediastinal contours are unchanged . There is no pulmonary vascular congestion or pneumothorax . Moderate size right pleural effusion is similar in size , with adjacent right basilar atelectasis . Multiple nodular opacities throughout the lungs , most predominantly in the lung bases , are compatible with known metastases , and are similar in size and number compared to the previous radiograph . Osseous destruction of the right ___ and ___ posterior ribs is re - demonstrated .
    OUTPUT:
    
Little interval change compared to the previous radiograph . Persistent moderate size right pleural effusion and right basilar atelectasis . Multiple nodules compatible with metastatic disease . Continued destructive changes of the right ___ and ___ posterior ribs .