Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior chest x-ray of ___ , mediastinal and hilar lymph node enlargement have decreased in extent , and a left upper lobe nodule has decreased in size . No new areas of lung consolidation are evident to suggest the presence of pneumonia . Small pleural effusions are apparently new . Left hemidiaphragm remains mildly elevated . No acute skeletal findings .
    OUTPUT:
    
1 . Since ___ CXR , a left upper lobe nodule has decreased in size and intrathoracic lymphadenopathy has also decreased . Please see serial CT and PET - CT exams for more recent serial comparison of these findings . 2 . Small bilateral pleural effusions are new .