Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest . Right chest wall port is seen with catheter tip in the mid SVC . There are multiple bilateral pulmonary nodules suspicious for metastatic disease in the setting of known cholangiocarcinoma , they are more numerous on the right . There is blunting of the right costophrenic angle in part due to nodular opacity , effusion is not completely excluded . Cardiomediastinal silhouette is within normal limits . No acute osseous abnormality detected .
    OUTPUT:
    
Multiple bilateral pulmonary nodules which appear normal in more numerous on the right concerning for metastatic disease . Evaluation for subtle consolidation is limited given background . Possible small right effusion .