Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest ___ at 22 :07 are submitted .
    OUTPUT:
    
There continue to be layering bilateral effusions with interval increase in size of the right effusion . Associated bibasilar opacities , left greater than right . Findings more likely reflect compressive atelectasis given the overall lack of change , although pneumonia can not be excluded . There is some fluid loculated within the horizontal fissure . A single lead left - sided pacer is unchanged in position with the lead terminating over the expected location of the right ventricle . A right internal jugular large bore catheter is unchanged in position . Stable deformity of the right humeral head with anchor sutures .