Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Low lung volumes results in bronchovascular crowding . Retrocardiac opacity is due to a pleural effusion with adjacent atelectasis but supervening infection can not be excluded . No pneumothorax . Nodular opacities in the right lung are compatible with the metastases seen on prior PET - CT . The cardiac silhouette is not well evaluated . Mediastinal silhouette is normal . Fullness in the left neck is due to mass seen on prior CT .
    OUTPUT:
    
1 . Left pleural effusion with atelectasis is new from ___ . Improving infection can not be excluded . 2 . Pulmonary metastases . Findings discussed with Dr . ___ in person ___ .