Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest radiograph ___ at 07 :37 is submitted .
    OUTPUT:
    
A left - sided Port - A - Cath remains in place . There is a diffuse bilateral parenchymal process with more consolidative appearance in the right lower lung . There is apparent increasing right pleural opacity favoring at least a component of pleural fluid . The left costophrenic angle now appears blunted consistent with a small left effusion . Given the diffuse parenchymal process , it is difficult to evaluate for superimposed edema , although the interstitium may be slightly more pronounced than on prior studies . Clinical correlation is advised . Overall cardiac and mediastinal contours are likely unchanged given differences in positioning and technique . No pneumothorax .