Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The large right pleural effusion occupying approximately half of the right hemithorax has increased with associated volume loss . A moderate left pleural effusion is also slightly increased with associated atelectasis . Moderate cardiomegaly persists with mild pulmonary vascular congestion . A left chest wall Port - A - Cath is in unchanged position .
    OUTPUT:
    
Increase in size of large left pleural effusion and moderate right pleural effusion with associated volume loss . The left pleural effusion occupies approximately half of the left hemithorax .