<num>. moderate left pleural effusion with adjacent opacity in the left lung base, which may represent atelectasis or infection in the appropriate clinical setting; since the opacities are partly nodular, nodules in the left lower lung should also be considered. <num>. new right eighth rib destruction. <num>. findings suggesting a moderate hiatal hernia although not entirely specific. findings are worrisome for malignancy as demonstrated by a ct performed on the same day at the time of finalization of this report.