Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval removal of a previously identified right - sided PICC line . Median sternotomy wires and mediastinal clips are unchanged in position . A loculated right - sided pleural effusion has increased in size , now mild - moderate . Additionally , a small right basilar pleural effusion is slightly larger . Focal airspace in the right middle lobe has increased . No evidence of pneumothorax . The cardiac size is within normal limits . Aortic knob calcifications are again noted .
    OUTPUT:
    
1 . Increased right middle lobe airspace opacity , suggestive of aspiration versus pneumonia . 2 . Increased right basilar and right loculated pleural effusions , now small - moderate .