Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal contours are stable in appearance with persistent large right paraspinal mass , more fully delineated by CT . Widespread pulmonary nodules are again demonstrated consistent with metastatic disease . A more confluent opacity is present in the right lower lobe posteriorly , and is at least in part due to atelectasis with associated displacement of the major fissure . Moderate right pleural effusion with intrafissural component is unchanged .
    OUTPUT:
    
1 . Worsening right lower lobe opacity , which is at least in part due to atelectasis given associated fissural displacement . However , coexisting pneumonia is possible given clinical suspicion for this entity . 2 . Widespread pulmonary metastases and large right paraspinal mass , better delineated on recent CT of several days earlier . 3 . Moderate right pleural effusion .