Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post right upper lobectomy with surgical clips in place . There is rightward mediastinal shift , consistent with surgical history , unchanged . Compared to prior , there is increased thickening of the right minor and major fissure , and slight increasing right pleural effusion . Small left pleural effusion is unchanged . Prior rib resection on the left is seen . No obvious rib metastases are seen . Mild , longstanding , general enlargement of the trachea may reflect a tendency to tracheomalacia . No pneumothorax .
    OUTPUT:
    
Increasing small right pleural effusion , accompanies slight increase in thickening of right minor and major fissure , cited as suspicious for malignant recurrence on report of ___ Chest CT .