Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Upright portable view of the chest demonstrates low lung volumes . There is a large left pleural effusion , which has increased since ___ CT exam , with associated left basilar atelectasis . The patient 's known dominant lingular mass is obscured by adjacent opacities . Small portion of the left lung remains aerated . The patient 's known right lung nodules are better characterized on CT of ___ . There is a small right pleural effusion . Cardiac size is difficult to discern due to adjacent opacities , but is likely enlarged . Perihilar vascular congestion . There is mild rightward shift of mediastinal structures likely secondary to large left pleural effusion . No pneumothorax is seen .
    OUTPUT:
    
Large left pleural effusion , leading to mild rightward deviation of the mediastinal structures has significantly increased in size since ___ CT exam . Small right pleural effusion . The patient 's known bilateral pulmonary nodules and lingular mass are better characterized on CT dated ___ .