Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multiloculated , moderate size left pleural effusion with associated pleural thickening shows slight change in distribution of loculated components and apparent slight decrease in size compared to ___ . Extensive pleural implants have been seen to better detail on separately dictated CT of the chest of ___ . Right lung is grossly clear . Cardiomediastinal contours are stable . High - grade compression deformity in the lower thoracic spine is unchanged and concerning for pathologic fracture .
    OUTPUT:
    
Slight change in distribution of multiloculated left pleural effusion , minimally decreased in size . Known pleural implants are seen to better detail on recent CT .