Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained . There is a large left pleural effusion with mild mediastinal shift to the right . There is mild prominence of the right hilum . There is no right pleural effusion . There is subtle nodularity in the right lung , with underlying nodules better assessed on CT . There is no pneumothorax . Right - sided chest port is present with tip terminating in the cavoatrial junction .
    OUTPUT:
    
New large left pleural effusion . Prominent right hilum , which may be increased since the prior study . Pulmonary nodules better assessed on CT .