Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac size can not be evaluated . Widening mediastinum is unchanged , patient has known extensive mediastinal and hilar lymphadenopathy . Multiple Bilateral lung nodules and masses are probably unchanged allowing the difference in technique . There is no pneumothorax . Small to moderate right effusion is unchanged . Cardiomediastinal contours are midline
    OUTPUT:
    
Small to moderate right effusion . Bilateral lung nodules and extensive mediastinal and hilar lymphadenopathy better evaluated in prior CT