Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded . In the right upper lobe there is a 1 .0 cm nodule , better seen in prior PET CT from ___ . Bilateral apical pleuroparenchymal scarring is present . No other focal opacities are noted bilaterally . There is a small left - sided pleural effusion , new compared to ___ . No right - sided pleural effusion is identified . There is no pneumothorax . Cardiomediastinal and hilar contours are unremarkable . Cardiac size is top normal .
    OUTPUT:
    
1 . Right upper lobe nodule better seen in prior PET CT . As this nodule has not been reassessed by cross sectional imaging since ___ , a chest CT is recommended to exclude interval growth . 2 . New left - sided pleural effusion .