Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided pacemaker is again seen with leads terminating in the right atrium and right ventricle . Median sternotomy wires are intact . Soft tissue clips project over the left upper abdomen . Mediastinal and hilar contours are unchanged . Stable , mild cardiomegaly . Prosthetic cardiac valve is again seen . There is a right - sided tunneled pleural catheter . Loculated right pleural effusion with adjacent atelectasis is larger compared to prior . No pneumothorax . Stable , minimal fluid in the left major fissure .
    OUTPUT:
    
Mild interval increase in loculated right pleural effusion .