Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since ___ , bilateral interstitial fibrosis , predominantly in the upper and lower lobes , with honeycombing is unchanged and compatible with known patient history . A small right pleural effusion is noted . No evidence of superimposed pneumonia . Right pectoral pacemaker is seen with transvenous leads in the right atrium and right ventricle . Heart size is top normal . No pneumothorax or pulmonary edema . At least one pulmonary nodule measuring 0 .4 cm is seen in the left mid lung , better assessed on prior CT Chest .
    OUTPUT:
    
1 . Unchanged small right pleural effusion and known bilateral interstitial fibrosis with honeycombing since ___ . 2 . At least one subcentimeter pulmonary nodule is seen in the left midlung but is better assessed on prior CT Chest .