Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single portable semi-erect chest radiograph was obtained . Pulmonary aeration has decreased . Moderate to large layering right pleural effusion has increased . Loculated intra-abdominal air projects over the right lung base . Central pulmonary vascular congestion is similar . Cardiomegaly is unchanged . An endotracheal tube ends 2 .5 cm above the carina . An enteric tube passes inferiorly below the film . A right subclavian catheter terminates at the cavoatrial junction .
    OUTPUT:
    
Increasing right pleural effusion since yesterday 's exam .