Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval increase in the now large right pleural effusion which appears to be possibly loculated . New opacity at the right lung apex may represent compressive atelectasis from the worsening effusion or alternatively a focal consolidation . Unchanged cardiac conduction device . A right central venous line ends in the mid SVC . Moderate to severe cardiomegaly is unchanged .
    OUTPUT:
    
Interval increase in patient 's large right pleural effusion which appears loculated . Increased airspace opacity at the right lung apex may represent atelectasis due to increased diffusion but underlying infection can not be excluded .