Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to the prior exam , there is slight decrease in the size of the left pleural effusion . Extensive perihilar and left upper lobe mass - like consolidation with hilar and mediastinal lymphadenopathy is again seen . Some engorgement of the vessels is also again present .
    OUTPUT:
    
No evidence of pneumothorax status post thoracentesis .