Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . A moderately sized loculated right pleural effusion appears unchanged . A small left pleural effusion appears larger and may have a subpulmonic component . Mediastinal and hilar lymphadenopathy appears unchanged . Geographic marginated opacities in the right upper lobe , likely represent post radiation changes . Multilevel mid thoracic vertebral body compression fractures appears unchanged . No free air below the right hemidiaphragm is seen .
    OUTPUT:
    
1 . A moderate to large loculated pleural effusion on the right appears unchanged . The small , left pleural effusion appears mildly increased in size and could potentially have a more substantial subpulmonic component based tiny increased distance from apparent diaphragm level to location of gastric bubble . If warranted clinically , left lateral decubitus radiograph may be helpful to better quantify the size of the left a fusion . 2 . Multilevel mid thoracic vertebral body compression fractures appear unchanged . 3 . Geographic marginated opacities in the right upper lobe likely represent postradiation changes and appear stable . 4 . Mediastinal and hilar lymphadenopathy appears unchanged .