Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is normal . Volume loss in the left lung is re - demonstrated with leftward shift of mediastinal structures again noted . Nodular and interstitial opacities are again seen throughout the left lung , most pronounced in the left lung base , along with left suprahilar mass compatible with known malignancy . Left - sided pleural thickening is seen diffusely with a small to moderate size left pleural effusion . No pulmonary edema , or right - sided focal consolidation , right - sided pleural effusion , or pneumothorax is identified . Known osseous metastatic lesions within the thoracic spine are better seen on the prior CT .
    OUTPUT:
    
Re - demonstration of a left suprahilar mass compatible with known malignancy with lymphangitic spread in the left lung and continued diffuse left - sided pleural thickening with a small to moderate left pleural effusion . No new focal consolidation identified in the right lung .