Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a large left pleural effusion , which is increased from the comparison examination . The right lung is unchanged , again demonstrating a possible small pleural effusion as well as apical pleural thickening . There is no focal consolidation or pneumothorax . Cardiac and mediastinal contours are unchanged .
    OUTPUT:
    
Large left pleural effusion increased from the comparison study . These results were discussed via telephone by Dr . ___ with ___ ___ from the Hematology - Oncology service via telephone at 11 :00 on ___