Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Volume loss in the right hemithorax is re - demonstrated with persistent right - sided pleural thickening and loculated pleural fluid , moderate in amount . The cardiac silhouette size remains borderline enlarged . Mediastinal contour is stable , with numerous mediastinal lymph nodes better assessed on the previous CT . Patchy opacity in the right lung base likely reflects a combination of a dominant right lower lobe lesion , better assessed on the previous CT , as well as compressive atelectasis . Additionally , increased interstitial markings in the right lung base are suggestive of lymphangitic spread of tumor . Multiple other smaller pulmonary nodules are noted throughout the lungs , but are better assessed on the previous CT . No focal consolidation or pleural effusion is seen within the left lung . No pneumothorax . There are no acute osseous abnormalities .
    OUTPUT:
    
Overall no significant interval change in comparison to the previous CT . Right - sided pleural thickening and loculated moderate size right pleural effusion , unchanged . Right basilar patchy opacity reflects a combination of the dominant right lower lobe lesion and compressive atelectasis . Increased interstitial markings in the right lung base also are compatible with likely lymphangitic spread of tumor . Multiple pulmonary nodules in both lungs are better seen on the previous CT .