Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been slight interval worsening of a now moderate left pleural effusion with adjacent atelectasis . The right lung and upper left lung are clear without focal consolidation , pneumothorax , or frank pulmonary edema . A right - sided hemodialysis catheter is seen with its tip terminating in the lower SVC . The cardiomediastinal silhouette appears unchanged . No bony abnormality is detected .
    OUTPUT:
    
Interval worsening of a now moderate right pleural effusion adjacent atelectasis . Otherwise , no evidence of focal consolidation , pneumothorax , or pulmonary edema .