Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiograph demonstrates a moderate left sided layering pleural effusion with opacification of the left hemidiaphragm . No focal opacity is identified within the lungs . When compared to prior radiograph dated ___ , the left - sided of pleural fusion appears increased in size . No frank pulmonary edema is identified . The cardiomediastinal silhouette appears stable when compared to prior study . No acute osseous abnormality is identified .
    OUTPUT:
    
Worsening of moderate left - sided pleural effusion seen on prior examination dated ___ . No focal consolidation concerning for pneumonia seen . The cardiomediastinal and hilar contours appear stable .