Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Large right pleural effusion has continued to grow , collapsing right middle and lower lobes . The cardiac silhouette is difficult to assess although is likely enlarged . Vascular engorgement in the left is exaggerated by expected redirection of blood flow from the right . There is no pneumothorax . Biapical scarring is unchanged . Left lung is otherwise clear .
    OUTPUT:
    
Large right pleural effusion continues to grow , collapsing right middle and lower lobes .