Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral radiograph of the chest once again demonstrate a right upper lobe mass with a fiducial marker in place as well as a right perihilar mass . This is consistent with the patient 's known malignancy . Once again seen are a small right and moderate left pleural effusion , with considerable left lower lobe atelectasis or consolidation , which is stable from both the prior radiographs and the cross-sectional imaging . The remainder of the lung fields are clear . The pacemaker / ICD device and it s two leads are unchanged . There is no pneumothorax . Pulmonary vascularity is normal .
    OUTPUT:
    
No evidence of pneumonia or decompensated congestive heart failure . Stable findings associated with the patient 's known lung malignancy .