Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval development of a significant increase in opacity projecting over the right hemithorax worrisome for worsening loculated / multiloculated pleural effusion with possible areas of underlying consolidation . The right aspect of the cardiac silhouette is not well assessed due to the adjacent opacity at the cardiac silhouette is grossly stable and mildly enlarged . The aorta is calcified and tortuous . Again seen is a left - sided subclavian central venous catheter terminating in the region of the low SVC . Surgical clips are again seen projecting over the posterior lower mediastinum . There may be a trace left pleural effusion . No pneumothorax is seen .
    OUTPUT:
    
Interval significant increase in opacity projecting over the right hemithorax worrisome for worsen loculated / multiloculated pleural effusion with possible areas of consolidation . Possible trace left pleural effusion .