Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild enlargement of the cardiac silhouette is re - demonstrated . The aorta is tortuous but unchanged . Widening of the right paratracheal stripe is compatible with underlying lymphadenopathy , not substantially changed from the previous radiograph . Multiple nodular opacities are again seen bilaterally , but more so within the left mid and lower lung fields , better assessed on the previous chest CT . Blunting of the right costophrenic angle suggests a small right pleural effusion which may be chronic . Minimal atelectasis is noted in the lung bases . Pulmonary vascularity is not engorged . There is no pneumothorax . No acute osseous abnormalities detected .
    OUTPUT:
    
Mediastinal lymphadenopathy and unchanged bilateral pulmonary nodules , better assessed on the previous CT . Small right pleural effusion . Bibasilar atelectasis without new focal consolidation .