Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As seen on prior chest CT , there is increased density and opacification of the left hemidiaphragm consistent with loculated pleural effusion . Increased densities at the right lower lung are also noted an correlate to findings in the chest CT , in the appropriate clinical setting , these findings were reflect an infectious process evaluation of the cardiac silhouette is somewhat limited . There is no pneumothorax pneumothorax .
    OUTPUT:
    
Moderate to large left - sided loculated pleural effusion on seen on outside chest CT . Increased density of the right lower lobe could reflect infectious process in the appropriate clinical setting .