Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right pleural effusion has increased since ___ and is now large . The left lung is clear . No left effusion or pneumothorax is present . A right - sided Port - A - Cath tip remains in the mid SVC . Cardiomegaly is unchanged .
    OUTPUT:
    
Significant progression of a large right pleural effusion . Discussed with Dr ___ ___ phone at ___ .