Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained . Median sternotomy wires and mediastinal clips are again seen . A right chest wall port is seen with catheter tip at the lower SVC , unchanged . Coronary artery stents are identified . Again seen is a large mass adjacent to the right hilus , relatively unchanged in size . Other bilateral perihilar masses and nodules are also present , as on prior . There are trace bilateral effusions which appear smaller . Heart is stable in size .
    OUTPUT:
    
No definite change since prior .