Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided Port - A - Cath terminates in the distal SVC . Sternotomy wires , vascular stent and prosthetic valves are in unchanged position . Pulmonary opacities within the left upper lobe , right lower lobe and right middle lobe reflect a moderate bilateral loculated pleural effusion as characterized on recent CT from ___ . The left lower lobe is better aerated compared to the prior exam . The heart is moderately enlarged but stable in size . There is no pneumothorax .
    OUTPUT:
    
Extensive loculated pleural effusion is demonstrated , minimally improved from ___ and better characterized on recent CT from ___ . Right - sided opacities predominantly affecting the inferior portion of the right upper lobe and the right lower lobe are most consistent with the loculated effusion however underlying infection should be considered in the appropriate setting .