Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to the most recent prior radiograph , there is increasing right - sided pleural effusion along with right - sided platelike atelectasis . There is also increasing opacities near the right middle lobe concerning for a superimposed infectious process . On the left , there continues to be a pleural effusion and atelectasis , and again pneumonia can not be ruled out in this area . Cardiomegaly remains . No vascular engorgement is also noted on today 's film .
    OUTPUT:
    
1 . Vascular engorgement 2 . Right basilar atelectasis and small effusion 3 . Left atelectasis and moderate size effusion