Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Substantially larger uniform radiodensity in the right hemithorax with new right apical pleural fluid collection reflects an increasing right pleural effusion . Right chest tube loops project over the right hemithorax . Interval increase in vascular congestion and mediastinal venous distension . Stable low lung volumes and moderate cardiomegaly .
    OUTPUT:
    
Increased , large right pleural effusion .