Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided pleural effusion is stable . Left - sided pleural effusion is also unchanged considering patient position . Left lower lobe atelectasis is unchanged . Soft tissue density abutting the left upper pleura with destruction of the adjacent rib is consistent with recent CT and better visualize compared to prior chest radiograph . No pneumothorax . The cardiomediastinal silhouette is unchanged . No pneumothorax .
    OUTPUT:
    
1 . Essentially unchanged bilateral pleural effusion . 2 . Better visualized left upper pleural lesion with adjacent rib destruction .