Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . The mediastinal and hilar contours are unremarkable . There is a moderate - sized right pleural effusion . Right sided pleural - based nodularity as well as multiple scattered nodules in both lungs are better noted on the outside CT chest exam . The largest nodule is noted in the right lower lobe and measures 2 - cm . No left - sided pleural effusion or pneumothorax is identified , and there is no pulmonary vascular congestion . There are no acute osseous abnormalities .
    OUTPUT:
    
Moderate - sized right pleural effusion . Right sided pleural based nodularity and multiple bilateral pulmonary nodules are better seen on CT from one day prior .