FINDINGS:
There is elevated left hemidiaphragm with a left pleural effusion. 
 In addition, there is abnormal opacity at the left pulmonary hilum with
 perihilar reticulation raising strong clinical concern for malignancy.  CT
 correlation is strongly advised.  The right lung is clear.  The heart cannot
 be clearly assessed.  Bony structures appear grossly intact.

IMPRESSION:
Findings in the left hemithorax concerning for malignancy and
 correlation with CT is strongly advised.