Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . A large right layering pleural effusion has significantly increased since ___ . There is adjacent atelectasis . The left lung is clear without effusion . No pneumothorax . A right Port - A - Cath ends in the lower SVC . The heart is difficult to evaluate given the pleural fluid , but there is mild leftward shift of mediastinal structures . There has been interval removal of the right chest tube .
    OUTPUT:
    
Reaccumulation of large right pleural effusion with mild leftward mediastinal shift . The patient has an appointment with Dr . ___ ___ the study .