Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs . Large right pleural effusion has recurred with loculations along the costal margin and right apex . Right femoral venous catheter terminates in the right atrium . Axillary clips are again noted on the right . The left lung is clear with the exception of a new subcentimeter nodule in the left lung base . There is no pneumothorax .
    OUTPUT:
    
1 . Recurrence of large right pleural effusion as described above . 2 . New left lower lung nodule , worrisome for metastasis .