Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single frontal image of the chest demonstrates an increased left pleural effusion . The right lung is clear . Cardiomediastinal silhouette is obscured by the large left effusion . There has been interval removal of the nasogastric tube . The right Port - A - Cath is seen in unchanged position . There has been interval insertion of a chest tube on the left . There is no pneumothorax or other complication seen . Visualized osseous structures are unremarkable .
    OUTPUT:
    
Increase in large left pleural effusion . Right lung is clear . A wet read of these findings was communicated by telephone to Dr . ___ at 3 :28 p .m . on ___ . A final read was made at 3 :45 p .m . on ___ and communicated by telephone to Dr . ___ at 3 :49 p .m . on ___ .