Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-upright radiograph of the chest demonstrates interval increase in bilateral parenchymal opacities , right greater than left , with persistent moderate - sized right pleural effusion . The cardiomediastinal and hilar contours are unchanged . There is no pneumothorax . The endotracheal tube ends 5 .5 cm from the carina . Right - sided PICC line ends at the upper SVC . The nasogastric tube courses into the stomach and out of the field of view .
    OUTPUT:
    
Interval increase in bilateral parenchymal opacities , right greater than left , with stable appearing moderate - sized right pleural effusion .