Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is mildly enlarged . The mediastinal and hilar contours are unchanged with convexity at the right cardiophrenic angle compatible with known lymph nodes , unchanged . There is no pulmonary edema . Moderate to large left and small right pleural effusions have increased in size compared to the previous exam . Left basilar opacification may reflect compressive atelectasis though infection or aspiration can not be excluded . Multiple nodules are demonstrated throughout the right lung , the largest within the right lower lobe measures 1 .9 cm and is unchanged . There is no pneumothorax .
    OUTPUT:
    
Moderate to large left and small right pleural effusions , increased in size compared to the previous exam . Left basilar opacification could reflect atelectasis though infection or aspiration can not be excluded . Multiple right lung pulmonary nodules are unchanged .