Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Once again seen is the right - sided pleural effusion with fluid tracking along the fissure which is unchanged from the ___ examination . In the right apex , radiation fibrosis and fluid is stable . Within the left lung , the left lower lobe pleural effusion has substantially increased in size since the prior radiograph and appears loculated . Kyphoplasty / vertebroplasty changes are seen within the thoracic spine along with the compression fracture of one of the thoracic vertebrae . No focal opacities are noted .
    OUTPUT:
    
1 . Increasing size of the loculated , left pleural effusion . 2 . Consistent right - sided pleural effusion as well as right - sided volume loss and loculated fluid .