Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest radiograph ___ at 12 :03 is submitted .
    OUTPUT:
    
There are scattered nodular parenchymal opacities throughout the right mid and upper lung with associated right paratracheal and hilar soft tissue consistent with known metastatic disease and lymphadenopathy . There is a right pleural effusion which has somewhat increased in size . Patchy opacity at the right base could reflect atelectasis , although pneumonia or aspiration should also be considered . The left lung remains grossly clear . No pulmonary edema or pneumothorax . Sutures overlying the right humeral head and right upper quadrant biliary stent are again seen . Prominent splenic arterial calcifications .