Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable frontal chest radiograph demonstrates opacification of the left hemithorax , with minimally aerated lung is seen at the left apex . This is consistent with increased severe left pleural effusion . The right lung is clear , without focal consolidation , pleural effusion , or pneumothorax . The cardiac silhouette can not be evaluated secondary to overlying opacity in the left hemithorax .
    OUTPUT:
    
Interval increase in the left pleural effusion , with near total opacification of the left hemithorax . Minimally aerated lung is seen in the left lung apex .