Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided Port - A - Cath tip terminates within the SVC . The heart size is normal . The mediastinal contours are unremarkable . Right hilar opacity likely reflects the patient 's known malignancy . Small to moderate sized right pleural effusion is noted . Previously demonstrated left pleural effusion has resolved . Multiple scattered nodules within the lungs are again noted , including a left lower lobe mass measuring up to 3 centimeters , but better seen on the recent CT . No pneumothorax is demonstrated . Partially imaged is hardware within the right shoulder . No acute osseous abnormalities seen .
    OUTPUT:
    
Moderate size right pleural effusion . Right hilar opacity likely reflects the patient 's known malignancy . Multiple bilateral pulmonary metastases are relatively unchanged , better assessed on the recent CT .