Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . There is a mildly tortuous thoracic aorta . Bilateral lobular mediastinal widening , worrisome for adenopathy , and concerning for malignancy . The right lung is well expanded and clear . There is a small right and moderate - to - large left pleural effusion . There is atelectasis of major portion of the left lower lobe . No pneumothorax is seen .
    OUTPUT:
    
1 . Small right and a moderate - to - large left pleural effusion with compressive atelectasis of the left lower lobe . 2 . Bilateral lobular mediastinal widening , worrisome for adenopathy , concerning for malignancy . Recommended chest CT with contrast for further assessment when clinically appropriate . Findings discussed with Dr .___ at 3 :20 P . M on ___ .