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There is a large left-sided pleural effusion, which is causing mediastinal shift to the right. Multiple pulmonary nodules throughout the right lung measuring up to approximately 5 mm in size. Assessment of left lung parenchyma is limited due to overlying pleural effusion. No destructive osseous lesion detected.
Given the mastectomy for presumed breast cancer, CT chest is advised to investigate for possible malignant pleural effusion.