Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A small to moderate right pleural effusion has increased compared with the prior study . A small left pleural effusion is unchanged . Markedly enlarged and tortuous aorta is similar to recent prior studies . Severe right acromioclavicular degenerative changes and glenohumeral degenerative changes are noted . There is no focal consolidation , pneumothorax , or pulmonary edema . The cardiomediastinal silhouette is stable .
    OUTPUT:
    
1 . Interval increase in small to moderate right pleural effusion . Unchanged small left pleural effusion . 2 . Markedly dilated and tortuous thoracic aorta , more fully evaluated by recent CT chest .