Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiograph demonstrates no significant change in the severity of the left pleural fluid . Several nodular opacities within the left upper lobe consistent with patient 's known history of metastasis better demonstrated on CT dated ___ . The right lung is grossly clear with no new focal consolidation . The cardiomediastinal and hilar contours are unchanged when compared to chest radiograph dated ___ . No pneumothorax .
    OUTPUT:
    
No significant change in severity of left - sided pleural effusion . No pneumothorax .