Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single portable AP upright view of the chest was obtained . In comparison to the prior examination , there is increased moderate right pleural effusion with adjacent dense opacification , likely representing compressive atelectasis , consolidation not excluded . Small left pleural effusion and adjacent mild atelectasis , increased . Multiple scattered pulmonary nodules , largest in the left upper lung , are relatively unchanged . Surgical clips in the left lower chest are again noted . A small well - rounded density projecting over the right scapula was not present on the prior study and could be external to the patient . No pneumothorax . Cardiomediastinal contour is otherwise unremarkable .
    OUTPUT:
    
1 . Increased moderate right pleural effusion . Adjacent confluent opacification may represent compressive atelectasis or airspace consolidation . 2 . Increased small left pleural effusion and mild left basilar atelectasis . 3 . Innumerable bilateral pulmonary nodules as previoulsy described .