Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior radiograph , there has been substantial increase in the right pleural effusion that is partly subpulmonic . The lungs are otherwise clear . There is no focal consolidation or pneumothorax . Heart size is top normal . Mediastinal silhouette is unremarkable .
    OUTPUT:
    
Significantly increased partly subpulmonic right pleural effusion since prior exam . These findings were discussed with Dr . ___ by Dr . ___ ___ telephone on ___ at 12 :10 p .m .