Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy tube is again noted . Left PICC tip is in the upper SVC . When compared to prior , there has been interval progression of the right - sided pleural effusion . Increased interstitial markings are seen within the right lung raising possibility of superimposed infection . Of note , the there is suggestion of right - sided volume loss suggesting underlying atelectasis . Known right lower lobe mass is not clearly depicted . There is however increased opacification in the right perihilar region . There is a probable small left effusion . No acute osseous abnormalities
    OUTPUT:
    
Interval enlargement of the right pleural effusion . Increased opacities in the aerated right lung which could represent a superimposed infection . Exact delineation of patient 's right lung mass is not clearly depicted on this portable exam .