Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Increase opacification of the right base consistent with an increase in moderate pleural effusions now measuring moderate to large in size with adjacent atelectasis . An overlying consolidation can not be excluded . Again noted is a large rounded opacity in the right mid lung consistent with patient 's known mass . Otherwise , the left hemithorax appears clear . The cardiac silhouette appears enlarged in comparison to the prior study and raises suspicion for a pericardial effusion . There is no overt edema . Osseous structures are grossly unremarkable .
    OUTPUT:
    
1 . Interval increase in right pleural effusion , now moderate to large in size , with adjacent atelectasis . It is worth noting that hemorrhage can not be excluded . 2 . Enlargement of the cardiac silhouette raising suspicion for a pericardial effusion . A dedicated Echo is recommended for further evaluation . 3 . Known large right midlung mass is again noted . These findings were discussed by Dr . ___ with Dr . ___ ___ telephone at 10 :42 am on ___ .