Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are stable . There is redemonstration of multiple lung masses which appear similar as compared to prior chest CT . There is a small sized right - sided pleural effusion , which allowing for differences in technique , appears slightly increased in size since prior chest CT . The left costophrenic angle is clear . There is no pneumothorax . No definite new focal consolidation concerning for pneumonia . However , a small superimposed infectious process can not be excluded .
    OUTPUT:
    
Overall stable appearance of known lung masses as compared to prior chest CT . No definite new focal consolidation identified however small superimposed infections may not be visualized given extensive bilateral opacities . Small right - sided pleural effusion appears slightly increased in size .