Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a moderate right subpulmonic effusion . No definite left effusion is identified . There is mild interstitial edema and atelectasis at the bilateral lung bases . No focal consolidation is identified . The cardiomediastinal silhouette is unchanged . There is no pneumothorax . Again noted is a left - sided pacemaker with lead tips over to right atrium and right ventricle . Surgical clips noted in the left upper quadrant of the abdomen .
    OUTPUT:
    
Moderate right subpulmonic effusion , increased since prior study . No focal consolidation .