Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bilateral moderate pleural effusions are overall unchanged from the prior exam . Lung volumes are low , overall unchanged . Bilateral nodular opacities are compatible with known metastases . Compared to ___ , increased opacification bilaterally and most visible the lateral view is noted and could represent focal consolidations with pneumonia and / or metastases . Visualized mediastinal silhouette is also unchanged . The left PICC line has since been removed , and a right Port - A - Cath since been placed with its tip ending in the right atrium . No pneumothorax . Biliary stent projecting over the right upper quadrant appears unchanged in position . Nonspecific bowel gas pattern .
    OUTPUT:
    
1 . Bilateral slight increased opacities , could represent infection and / or metastatic disease . 2 . Overall stable bilateral moderate pleural effusions and lower lung volumes . 3 . Interval removal of left PICC line and placement of right Port - A - Cath which ends in the upper right atrium near the cavoatrial junction .