Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is within normal limits . The mediastinal and hilar contours are normal . The lung volumes are low and retrocardiac consolidation is improved . There is a small - to - moderate pleural effusion on the right , increased from prior exams . There is no pneumothorax . No chest tube is in place . Clips in the right upper abdominal quadrant represent prior cholecystectomy .
    OUTPUT:
    
Improving retrocardiac consolidation and increasing right pleural effusion .