Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained . In comparison to the prior exam , the lung volumes are slightly lower . The small right - sided pleural effusion has slightly increased in size . There is associated right basilar atelectasis . A small left - sided pleural effusion appears stable . There are no new consolidations , pulmonary edema , or pneumothorax . Right upper lobe ill - defined focal opacity is unchanged , likely reflective of a metastasis . Other previously noted pulmonary nodules are better assessed on the prior CT . The cardiac size is at the upper limits of normal . The mediastinal contours are normal . A large mass which results in expansile destruction of the left second and third ribs is unchanged .
    OUTPUT:
    
1 . Slight increase in size of right pleural effusion and stable small left pleural effusion . 2 . Unchanged osseous metastasis involving the left second and third rib .