Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright chest radiograph ___ at 16 :06 is submitted .
    OUTPUT:
    
Multiple pulmonary nodules are again seen consistent with known metastatic disease . Bilateral effusions with adjacent patchy opacity likely reflecting atelectasis . No new airspace consolidation is seen to suggest pneumonia . Overall cardiac and mediastinal contours are stable . No evidence of pulmonary edema . Left internal jugular Port - A - Cath has its tip in the proximal right atrium .