Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Extensive nodular opacities are re - demonstrated bilaterally , grossly similar to recent prior studies . A small right pleural effusion appears decreased compared with ___ . There is no significant left - sided pleural effusion . An accessed right pectoral Port - A - Cath tip terminates at the SVC RA junction . There is no pneumothorax . Sensitivity for pulmonary edema or focal consolidation is limited in the setting of diffuse parenchymal opacification .
    OUTPUT:
    
Interval decrease in small right pleural effusion . Again seen numerous bilateral metastatic lesions .