Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest is compared to previous exam from ___ . When compared to prior , there has been interval increase in size of the right - sided pleural effusion . Right upper lung and left lung remain clear . Triple - lead pacing device is again noted . Cardiac silhouette remains difficult to assess given size of effusion . Osseous and soft tissue structures are grossly unchanged .
    OUTPUT:
    
Interval enlargement of the right - sided pleural effusion . Otherwise , no change .