Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right upper extremity PICC courses into the mid SVC . Small left pleural effusion is slightly larger . There is no right pleural effusion . No pneumothorax or focal airspace consolidation worrisome for pneumonia . The known pulmonary nodules , thought to be rheumatoid in nature , are partially visualized . The largest is seen in the left lobe lung and measures 3 .2 x 2 .1 cm , unchanged accounting for differences in technique . The known necrotic left lower lobe nodule is partially visualized through the left hemidiaphragm . There is an 8 mm nodular opacity seen in the right upper lung and a smaller , vague opacity in the left mid lung , which were not visualized on the chest CT from ___ . The mediastinal and hilar structures are unremarkable . Heart size is normal . No pulmonary edema .
    OUTPUT:
    
1 . No new focal consolidation worrisome for pneumonia . 2 . Small pleural effusion , slightly larger from ___ . 3 . Incomplete evaluation of the known pulmonary nodules . There may be a new 8 mm nodule in the right upper lung and a smaller nodule in the left midlung from the chest CT of ___ . Reassessment with non-emergent chest CT is suggested for further assessment . 4 . Right upper extremity PICC courses into the mid SVC .