Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal silhouette is normal . A subtle roughly 2 - cm nodular density overlies the inferior margin of the right hilus , visible on lateral projection , projecting over the heart is suspicious for lung nodule which was not clearly visible on prior CT due to compression from large malignant effusion . A right pleural drainage catheter remains in place with a small amount of remnant right pleural effusion . Nodular thickening of the right apical pleura is unchanged . There is no pneumothorax . The left lung is clear .
    OUTPUT:
    
No significant change in examination compared to ___ with persistent small right effusion with pleural drainage catheter in place , right apical nodular pleural thickening , and 2 - cm right middle lobe nodule .