Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval development of a moderate right pleural effusion accompanied by sufficient right lung atelectasis to avoid mediastinal shift . Findings are confirmed on concurrent abdominal ultrasound . There is likely atelectatic collapse of the right lower lobe . The left lung shows pulmonary vascular congestion verging on mild edema . Mediastinal contours are within normal limits . Moderate cardiomegaly is unchanged from prior examination . There is no pneumothorax . A large caliber dialysis catheter terminates in the right atrium , unchanged from prior .
    OUTPUT:
    
1 . New recurrence of moderate right pleural effusion . If there is subphrenic infection this could be empyema , although prior findings suggest the cause is hemodynamic . 2 . New mild cardiac decompensation and / or volume overload , chronic moderate cardiomegaly . Findings were discussed over the telephone at the time of dictation with Dr ___ .