Multiple ill-defined nodules are present in both lungs, consistent with metastatic disease. A large pleural-based mass in the left mid zone appears unchanged from the previous scan. There is a small right-sided pleural effusion, slightly more prominent than on the prior film, and minimal blunting of the left costophrenic angle, suggestive of a small effusion.
Simple pleural effusion (Present) Nodule/Solitary lung nodule (Present) Mass/Solitary lung mass (Present)