Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . There is interval increase in right pleural effusion now moderate in size with associated consolidation in the right lower lung likely representing atelectasis though difficult to exclude a superimposed pneumonia . The left lung appears clear . Cardiomegaly is again noted . There is no overt evidence for pulmonary edema . The bony structures are intact .
    OUTPUT:
    
Persistent cardiomegaly with increasing right pleural effusion and right mid and lower lung atelectasis , difficult to exclude a superimposed pneumonia .