Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded . The area of chronic right upper lobe bronchiectatic change is again noted , similar prior exam . There has been interval increase in the right pleural effusion from prior exam . No new mass or consolidation is seen . There is no left effusion or pneumothorax The cardiomediastinal silhouette is unremarkable .
    OUTPUT:
    
1 . Interval increase in right pleural effusion . 2 . Stable right upper lobe area of bronchiectatic change . Given the increasing pleural effusion and bronchiectatic change , this raises a question of a possible underlying malignancy . Chest CT is indicated for further evaluation for malignancy .