Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No change in the appearance of a large right cardiophrenic angle mass and smaller right upper lobe mass with smaller nodules extending horizontally towards the pleura . The right paratracheal stripe remains widened , consistent with known lesion . A small right pleural effusion has increased since ___ . The left lung is clear . The cardiac and mediastinal contours are normal . No pneumothorax is present .
    OUTPUT:
    
Unchanged appearance of right lung masses consistent with adenocarcinoma . Small right pleural effusion is new .