Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided Port - A - Cath tubing position and left atrial ligament clip appear unchanged . Compared to the most recent previous study , right pleural of fusion has recurred and a very small left pleural effusion may be present as well . Cardiomegaly appears stable . Central pulmonary vascular is a chair is not congested . Upper airway asymmetry above the thoracic inlet may be related to head positioning .
    OUTPUT:
    
New development or increase in right pleural effusion compared to 3 days ago .