Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tiny right apical pneumothorax is present , and in retrospect is unchanged . Moderate - sized multiloculated right pleural effusion has increased in size and is associated with worsening atelectasis in the right middle and lower lobes . Linear atelectasis in left lower lobe is unchanged . Note is also made of a small left pleural effusion .
    OUTPUT:
    
Worsening multiloculated right pleural effusion with adjacent atelectasis .