Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: These are the first chest x-rays from this institution . Comparison is made to chest CT from ___ which showed multiple predominantly pleural - based focal masses / infiltrates . The current chest x-ray demonstrates irregular opacities , most marked on the right , the largest of which is 2 .3 cm in the right mid lung laterally with other pleural - based lesions lower on the right . There is a small right - sided pleural effusion . The other lesions are better detected on the chest CT . Mild degenerative changes of the thoracic spine with anterior osteophytes . The heart is mildly enlarged .
    OUTPUT:
    
The multiplicity of the lesions and characterization is best performed on the prior CT . The largest lesion on the right measures 2 .3 cm on this chest x-ray .