Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Analysis is performed in direct comparison with the next preceding AP single view portable chest examination of ___ . The heart size remains within normal limits . No typical configurational abnormalities are seen . Appearance of thoracic aorta unchanged . Comparison of the frontal views indicates an increased widening of the superior mediastinum with a now bulging mass to the left above the level of the aortic knob . Similarly , there appears an increased thickening of the pleural space in the apical area on the left side . Previously described and on chest CT identified nodular lesions in the left lung are again seen and appear rather unchanged . The left lower lobe plate atelectasis which existed on the last examination has resolved . The pleural density persists , although it appears to be slightly less than it was before . No evidence of pleural effusion is identified on the right side . As we now have a lateral view of the chest , we can identify mild blunting of the posterior pleural sinuses on both sides . Demineralization of several vertebral bodies in the thoracic spine are identified and match the described metastatic lesions seen on CT of ___ . As per report of the chest CT examination , the patient has metastatic ovarian carcinoma , but also a left - sided breast mass .
    OUTPUT:
    
Stable appearance of left - sided small amount of pleural effusion . Noteworthy is now new widening of superior mediastinum to the left , apparently increased since last examination of ___