Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: New large right pleural effusion . Multiple spiculated nodules are again appreciated in the right upper , left upper and left mid lungs . The heart is at the upper limit of normal in terms of size .
    OUTPUT:
    
New large right pleural effusion is seen . Multiple spiculated nodules in the right upper , left upper and left mid lung appear stable .