Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval enlargement of the right - sided pleural effusion . Adjacent right basilar consolidation may be due to atelectasis noting that underlying infection can not be excluded . There is also persistent left effusion noting blunting the lateral costophrenic angle . Superiorly , lungs are clear . Left chest wall triple lead pacing device is noted . Right PICC is seen though tip is not clearly delineated . Cardiac enlargement is similar compared to prior . Left shoulder arthroplasty changes are seen . No displaced fractures .
    OUTPUT:
    
Interval enlargement of patient 's right - sided pleural effusion since ___ . Adjacent opacity could be atelectasis noting that infection is not excluded .