Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is normal in size . There is increased soft tissue density at the left hilum as well as a fiducial seeds seen in unchanged position . There is a moderate possibly loculated left pleural effusion , which is increased from the prior examination . There may be a small right - sided pleural effusion . There is no evidence of pneumothorax .
    OUTPUT:
    
1 . Moderate , possibly loculated left pleural effusion , increased from the prior examination of ___ . 2 . Increased soft tissue density about the left hilum consistent with a history of lung adenocarcinoma in that area with fiducial seed in unchanged position .