Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Increased leftward rotation of the patient limits the evaluation . Left PICC line is likely in stable position in the upper SVC . Moderate to large left pleural effusion persists . Worsening opacification projecting over the right lower lung is difficult to completely account for by patient 's right breast prosthesis and could reflect combination of right lower lobe atelectasis and pleural effusion . Moderate cardiomegaly persists . Pulmonary edema is minimal . There is no pneumothorax .
    OUTPUT:
    
1 . Left rotation of the patient severely limits the evaluation . 2 . Unchanged moderate to large left pleural effusion . 3 . Worsening opacification over the right lower lung is incompletely accounted for by patient 's right breast prosthesis and could reflect some combination of right lower lobe atelectasis and at least small pleural effusion . If further evaluation is desired well - positioned frontal and lateral radiographs could be obtained . Additionally , the images should be reviewed by the radiologist to determine whether additional lateral decubitus views would be helpful . Alternatively , a CT of the chest could be obtained .