Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Previously seen consolidation within the right lung base appears less dense compared to recent prior examination . However , there is increased right pleural fluid and probable underlying atelectasis . The left lung is clear . Severe cardiomegaly is unchanged . Mediastinal and hilar contours are within normal limits . Sclerosis of the superior and inferior endplates of the thoracic vertebral bodies is consistent with renal osteodystrophy , unchanged from prior . Multiple compression fractures are again noted and are better characterized on prior CT . No definite acute fracture is evident .
    OUTPUT:
    
Increasing right pleural effusion with less conspicuous appearance of prior right medial lung opacity . No other significant change compared to prior examinations .