Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest are obtained . Bilateral pleural effusions , again seen to be partially loculated on the right . There are also tracks of fluid along the right lung apex . Patchy opacity in the left upper lung is again seen corresponding to that seen on prior chest CT with differential diagnosis at that time as including mycoplasma or viral infection . Post-radiation changes of the right lung are again seen . The paramediastinal left upper lung solid lesion is better appreciated and assessed on CT . Known multiple pulmonary nodules are also better assessed on CT . Known metastatic disease is better seen on CT . The patient is status post vertebroplasty at two levels . There is also stable moderate - to - severe compression of a lower thoracic vertebral body with adjacent sclerosis seen .
    OUTPUT:
    
In comparison with recent prior CT of ___ , and in comparison with scout image , appearance of the chest is similar aside from possible new left pleural effusion with overlying atelectasis versus mild consolidation at the left lung base , which may be new .