Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided ICD is stable in position . Patient is status post median sternotomy and CABG . The cardiac and mediastinal silhouettes are stable . There has been interval increase in moderate to large right pleural effusion with overlying atelectasis . No large left pleural effusion is seen . No definite left focal consolidation . There is no pneumothorax . Central pulmonary vascular engorgement is seen .
    OUTPUT:
    
Interval increase in now moderate to large right pleural effusion with overlying atelectasis . Central pulmonary vascular engorgement .