Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs in demonstrating multiple bilateral pulmonary nodules , which are substantially increased in size and number compared to chest radiograph from ___ . The right pleural effusion is persistent . There is no pneumothorax .
    OUTPUT:
    
1 . Multiple bilateral pulmonary nodules , increased in size and number compared to chest radiograph from ___ . 2 . Persistent right pleural effusion . These findings were entered into the critical communications dashboard by Dr . ___ at ___ on ___ .