Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest is compared to previous exam from ___ . Right chest wall port again seen with catheter tip at the cavoatrial / distal SVC . Large right base rounded mass is again seen , grossly unchanged . There is a new nodule in the left mid lung . There is possible small left basilar pleural effusion , although the left costophrenic angle is not well evaluated on this study . Superiorly , the lungs remain grossly clear . Cardiac silhouette is stable .
    OUTPUT:
    
Left - sided pleural effusion . Left mid lung pulmonary nodular opacity , new since prior study , additional site of metastatic disease not excluded . No evidence of acute consolidation . Right base mass again seen .