Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to the prior radiograph on ___ , there is been interval worsening of the currently moderately - sized left pleural effusion . Adjacent opacification at the left lung base likely represents compressive atelectasis . Vascular congestion is mild , unchanged . Right lung is essentially clear . No pneumothorax . Heart size is enlarged . Median sternotomy wires are dehiscence . No acute osseous abnormalities identified .
    OUTPUT:
    
Interval worsening of a currently moderately - sized left pleural effusion with adjacent atelectasis .