Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to prior chest x-ray of ___ , , right pleural effusion has increased , now moderate . Left lung is clear . Heart size is mildly enlarged . No pulmonary edema or pneumothorax . The left PICC is unchanged ending in lower SVC .
    OUTPUT:
    
Intervale increase of right pleural effusion , now moderate .