Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Hardware instrumentation of the thoracic spine . Right Port - A - Cath in place . Worsened left basilar consolidation , likely atelectasis in the setting of worsening moderate left pleural effusion . Increased pulmonary vascularity , more prominent . Heart size difficult to evaluate secondary to consolidation shallow inspiration . .
    OUTPUT:
    
Interval worsening . Increased left pleural effusion . Worsened left basilar consolidation , likely atelectasis , consider infection in the appropriate clinical setting .