Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal sillouhette is normal . Emphysema is noted with upper lobe lucency and hyperinflated lungs . Right lower lobe mass is re-identified . A small right pleural effusion also again noted . The left lung remains clear . There is no left pleural effusion . Biapical scarring is noted . VP shunt traverses the right chest wall .
    OUTPUT:
    
Large right lower lobe mass with small right pleural effusion . Please refer to subsequent CTA chest for further details