Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been no substantial interval change in the appearance of the chest compared to the radiograph obtained 1 day earlier . Cardiac and mediastinal contours are unchanged , with known mediastinal lymphadenopathy better seen on the recent CT . Hilar contours are also unchanged and remain enlarged compatible with known lymphadenopathy . There is likely mild pulmonary vascular congestion . Small to moderate size right pleural effusion and small left pleural effusion are unchanged . Bibasilar airspace opacities could reflect atelectasis or infection . Multiple nodular opacities in both lungs are re - demonstrated , but better seen on the previous CT . No pneumothorax is identified . There are mild to moderate degenerative changes in the thoracic spine .
    OUTPUT:
    
No significant interval change compared to the radiograph from 1 day previously . Small to moderate biilateral pleural effusions , right greater than left , with bibasilar opacities possibly reflecting atelectasis or infection . Mild pulmonary vascular congestion . Known pulmonary metastatic lesions are better assessed on the previous CTA as is the mediastinal and hilar lymphadenopathy .