Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right chest wall port is again seen . There is a moderate to large right pleural effusion and a smaller left pleural effusion , both appear larger when compared to ___ . Superiorly , lungs are clear . Surgical clips stent and catheter wall identified in the upper abdomen .
    OUTPUT:
    
Interval enlargement of the moderate to large right and small left pleural effusion since ___ .