Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest demonstrate interval increase in size of right pleural effusion , along with complete atelectasis of the right middle and lower lobes , raising concern for bronchial obstruction . The right upper lobe and left lung are grossly clear . The heart size is unchanged . Median sternotomy wires and post-surgical changes associated with aortic valve replacement are unchanged .
    OUTPUT:
    
Interval increase in right pleural effusion with complete atelectasis of the right middle and lower lobes , raising concern for bronchial obstruction . The above findings were communicated to Dr . ___ by Dr . ___ ___ telephone at 4 : 55 pm , ___ min after discovery .