Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A very large right pleural effusion causes complete opacification of the mid and lower portions of the right hemithorax . The left lung appears normal . The pleural effusion causes significant compression atelectasis and only part of the right upper lobe is aerated . The right cardiac silhouette is obscured by the effusion however is the heart appears smaller compared to ___ . The mediastinum is not widened . The left hilum is unremarkable and the right is mostly obscured by the effusion . There is no pneumothorax . Median sternotomy wires are well - aligned . The patient is status post CABG .
    OUTPUT:
    
Very large right pleural effusion causing significant compression atelectasis of the right middle and lower lobes . The Radiology technologist contacted the reading room at 13 :45 on ___ with concerns that the patient was short of breath . The ordering physician ___ . ___ was contacted ___ min after discovery of the finding . He explained that the patient was stable in the office approximately ___ min prior and that the finding would be managed in the outpatient setting . Dr . ___ ___ that the patient go home and follow up with his primary care physician . This recommendation was communicated to the patient who was further advised to present to the emergency room if his shortness - of - breath worsened .