Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no significant change from the study obtained approximately 1 hr prior . Again there is a catheter projecting over the left lung base now better visualized on the lateral projection . Overall size of loculated left pleural effusion and pleural based disease appears unchanged better evaluated on prior CT . There is no pneumothorax . Size and configuration of the heart and mediastinum is unchanged with known bulky lymphadenopathy .
    OUTPUT:
    
1 . Overall no appreciable change from the recent study . 2 . Left pleural drain projects over the left lung base posteriorly . 3 . Loculated left pleural effusion and pleural malignant disease is grossly unchanged . This preliminary report was reviewed with Dr . ___ , ___ radiologist .