Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided pleural thickening and effusion has slightly increased since ___ . This can be active pleural inflammation . Widespread nodular opacities have improved since the prior examination . Heart size is normal . Left - sided port terminates in the low SVC .
    OUTPUT:
    
Slight increase in left - sided pleural effusion and thickening , with interval decrease of the widespread nodular opacities .