Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect film of chest demonstrate a large right - sided pleural effusionm , increasing in size from prior studies . There is also vascular engorgement and pulmonary edema without underlying focal consolidation concerning for pneumonia . Tracheostomy tube is in correct position . Median sternotomy wires are unchanged in position . The G - tube balloon is partially visualized in the upper abdomen .
    OUTPUT:
    
1 . Large right - sided pleural effusion , increasing in size . 2 . Pulmonary edema .