Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left chest wall dual lead AICD is present . Interval increase in size of a right pleural effusion with subjacent atelectasis . Additionally there are increasing streaky and patchy airspace opacities throughout the left mid and lower lung zones . A loculated left pleural effusion is again present . No pneumothorax identified . The size the cardiac silhouette is enlarged but unchanged .
    OUTPUT:
    
Increasing streaky and patchy airspace opacities throughout the left mid and lower lung zones . A loculated left pleural effusion is grossly unchanged . Increased right pleural effusion with subjacent atelectasis .