Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are compared to previous exam from ___ . The lungs are clear of focal consolidation . There is , however , small , new right - sided pleural effusion . There has also been enlargement of the cardiac silhouette . There is a suggestion of a right apical nodule . This is unlikely to represent a bone island as it was not seen on prior . Elsewhere , lungs are clear . Osseous and soft tissue structures are unremarkable .
    OUTPUT:
    
1 . New small right - sided pleural effusion . 2 . Interval enlargement of the cardiac silhouette . 3 . Right apical nodule for which apical lordotic view is suggested .