Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right - sided double barrel Port - A - Cath catheter terminates in the cavoatrial junction . As compared to prior chest radiograph from ___ , there is increased moderate to large left - sided pleural effusion . Right basal opacities have worsened and likely reflect a combination of pleural effusion and consolidation . Increased ill - defined opacity in the right lower lung could reflect worsened metastatic disease . Rounded opacity in the right perihilar region is compatible with known loculated fissural fluid , as seen on prior chest CT . There is no pneumothorax . Evaluation of the cardiac silhouette is somewhat limited , however the cardiomediastinal contour appears grossly stable when compared to prior examination .
    OUTPUT:
    
1 . Increased moderate to large sized left pleural effusion . 2 . Worsened right basal opacities which likely reflect a combination of pleural effusion and consolidation . Increased ill - defined opacity in the right lower lung could reflect worsened metastatic disease . Rounded opacity in the right perihilar region is compatible with known loculated fissural fluid . However , underlying infectious processes can not be excluded .