Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright chest radiograph ___ at 09 :31 is submitted .
    OUTPUT:
    
Persistent loculated left pleural effusion has slightly increased in size and there is associated pleural thickening and nodularity extending laterally and up into the apex concerning for metastatic disease . Stable appearance to the left hilar and right paratracheal region with associated parenchymal retraction suggestive of prior treatment for lung carcinoma . No developing consolidation is seen to suggest pneumonia . No pleural effusions . No pneumothorax . A pleural line at the right apex is felt to be related to scarring given stability since ___ and when correlated with a recent chest CT dated ___ .