Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . There has been interval increase in right pleural effusion , now large , with increasing right lower lung collapse . Left lung remains well aerated . Cardiomediastinal silhouette is grossly stable though the right heart border is not visualized due to adjacent effusion . Bony structures appear intact .
    OUTPUT:
    
Increasing right pleural effusion with increasing right mid to low lung collapse . Recommend thoracentesis with fluid analysis and CT to further assess . Findings were discussed with Dr . ___ .