Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided Port - A - Cath terminates in the right atrium without evidence of pneumothorax . Since the prior study , there has been interval increase in bilateral nodule opacities worrisome for progression of metastatic disease . The right hemidiaphragm is elevated . There are small bilateral pleural effusions . Mediastinal contours unremarkable . Difficult to assess the right aspect of the cardiac silhouette due to the elevated right hemidiaphragm .
    OUTPUT:
    
Elevated right hemidiaphragm . Trace bilateral pleural effusions . Increase in size and number of bilateral pulmonary nodules worrisome for progression of metastatic disease .