Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is interval development of increased density in the lower right chest most consistent in appearance with pleural fluid . Underlying consolidation in the right lung base can not be excluded . In addition , there is increased density in the retrocardiac area consistent with atelectasis or consolidation . The cardiac silhouette is quite prominent , as before . The aorta is tortuous and calcified . Mediastinal structures are unchanged . A transvenous pacemaker remains in place . A right internal jugular introducer is now in place . An endotracheal tube is been inserted and ends at the thoracic inlet . Multiple surgical clips are projected beneath the diaphragm .
    OUTPUT:
    
Increased density in the lower right chest consistent with pleural fluid . There is increased density in the retrocardiac area consistent with atelectasis or consolidation .