Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are stents in the left axillary / subclavian region . The lungs are well expanded . There is no focal consolidation to suggest pneumonia . Bilateral pleural effusions , small though slightly larger on the left , are new from ___ . There is no pneumothorax . The hilar and cardiomediastinal contours are unchanged , with persistent mild cardiomegaly , but no pulmonary edema . On the lateral view , there is a 1 .5 - cm nodule projecting anterior to a lower thoracic vertebral body within the lower lobes , side indeterminate . This was not apparent on prior study .
    OUTPUT:
    
1 . Small bilateral pleural effusions . No apparent pneumonia . This could reflect underlying pulmonary embolus in the proper clinical setting , and this should be excluded if clinically indicated . 2 . Mild cardiomegaly without pulmonary edema , unchanged . 3 . 1 .4 - cm nodular density projecting over the lower lobes in the lateral view . Nonemergent chest CT is recommended for further evaluation . Findings were discussed with Dr . ___ at 1 : 15 p .m . on ___ by Dr . ___ by phone .