Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a moderate left pleural effusion that has dramatically increased in size compared to the prior . There is associated volume loss in the left lower lobe There has been interval removal of the left central line there is no focal infiltrate on the right . A retrocardiac infiltrate ca n't be excluded .
    OUTPUT:
    
New moderate left pleural effusion