Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right pleural effusion and overlying atelectasis are again seen , but appear somewhat increased since the prior study . The right aspect of the cardiac silhouette is not well assessed due to overlying opacity , but the cardiac silhouette is likely top - normal but possibly mildly enlarged . Mediastinal contours are grossly stable . There is mild prominence of the central pulmonary vasculature suggesting vascular engorgement . No pneumothorax is seen .
    OUTPUT:
    
Right pleural effusion with overlying atelectasis appear somewhat increased as compared to the prior study . Central pulmonary vascular engorgement .