Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a small persistent right - sided pleural effusion with blunting of the posterior costophrenic angle . Nodules projecting over the right lung base are better seen on prior exam . Left - sided volume loss is again noted including elevation of left hemidiaphragm and leftward mediastinal shift . There is no new consolidation or overt pulmonary edema . Median sternotomy wires and mediastinal clips are again noted . No acute osseous abnormalities .
    OUTPUT:
    
No acute cardiopulmonary process .