Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is substantial worsening of a large right pleural effusion . Persistent right basal opacity could be related to atelectasis or early developing pneumonia . There is a small left pleural effusion , if any . No pneumothorax . Severe cardiomegaly is chronic . The azygos vein is dilated and there is pulmonary vascular congestion . Note is made of a cardiac calcification overlying the heart on the right . If additional information is needed regarding cardiac chambers or cardiac calcifications , conventional radiography would be recommended .
    OUTPUT:
    
1 . Substantial worsening of large right pleural effusion and persistent right basal consolidation which could represent atelectasis or early developing pneumonia . Close clinical followup is recommended . 2 . Increased intravascular volume .