Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left - sided PleurX catheter has been removed . Recurrent moderate left - sided pleural effusion . Left lower lobe nodular opacity representing known malignancy has increased . Left upper lobe nodular opacity also slightly increased . New possible right lower lobe opacity . Moderate cardiomegaly has increased since the prior . Mild interstitial pulmonary edema .
    OUTPUT:
    
Recurrent moderate left - sided effusion and increasing masses in the left upper and lower lobe when compared to ___ chest x-ray . Mild interstitial pulmonary edema with increasing heart size .