Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . Right - sided pleural effusion is again noted . Spiculated right lower lobe nodule is better seen on prior CT chest . Biapical scarring is also noted . The cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
Right - sided pleural effusion and right lung base lesion as seen on CT from earlier the same day .