Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . There has been significant interval enlargement of the right - sided pleural effusion which is primarily loculated laterally . There is a moderate left - sided effusion which has also increased since prior . Underlying consolidation particularly at the left lung base can not be excluded . Superiorly the lungs are clear . Cardiomediastinal silhouette is unchanged . Median sternotomy wires are again seen with fracture through the wire which is ___ from the top , unchanged . No acute osseous abnormalities detected .
    OUTPUT:
    
Large right effusion which has increased in size and is largely loculated laterally . Enlargement of moderate left effusion since prior . Underlying consolidation particularly on the left can not be excluded