Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval increase in left pleural effusion is seen compared to previous radiograph . The right hemidiaphragm continues to be elevated . There is no evidence of pneumonia . The cardiac silhouette is at the upper range of normal . The right - sided Port - A - Cath is unchanged in position .
    OUTPUT:
    
Interval increase in left pleural effusion and continued elevation of right hemidiaphragm .