Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Cardiac silhouette remains enlarged with left lower lobe consolidation and effusion appearing slightly increased . Blunting of the right CP angles also noted . No nodules are again seen in the left upper and right lower lung . Mediastinal contour is grossly unchanged allowing for slight rotation . A right proximal shaft clavicle fracture is new in the interval . An expansile left upper rib cage lesion is better assessed on prior CT .
    OUTPUT:
    
1 . New right proximal clavicle shaft fracture . 2 . Increasing left basal opacity concerning for pneumonia and effusion . 3 . Stable prominence of the cardiomediastinal silhouette . 4 . Scattered lung nodules and left upper rib lesion again noted which remain concerning for metastatic disease .