Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Catheter of an accessed right chest wall port terminates in lower SVC . A right pleural tube is similar to prior . Left lower lung opacity silhouettes the left hemidiaphragm and is consistent with a combination of pleural effusion and atelectasis . Underlying infection can not be excluded . There is additionally a small right pleural effusion with adjacent atelectasis . Multiple bilateral nodular opacities are again seen , consistent with known metastatic disease . Heart size is stable .
    OUTPUT:
    
1 . Interval increase in moderate left pleural effusion with adjacent atelectasis . Underlying infection can not be excluded . 2 . Small right pleural effusion with adjacent atelectasis and stable position of right pleural tube . 3 . Multiple bilateral nodular opacities consistent with known metastatic disease .