Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly and elevation of the left hemidiaphragm are chronic . The right pleural effusion is larger . No new focal consolidation concerning for pneumonia or pneumothorax . Unchanged left pacer with leads terminating in the right atrium and right ventricle . Unchanged ventriculoperitoneal shunt .
    OUTPUT:
    
Interval enlargement in the right pleural effusion . No new focal consolidation .