Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to the chest radiograph obtained ___ , there is been substantial improvement in the previously large , now small right pleural effusion . There is a mild amount of associated right lower lung atelectasis . Additionally , there is and right upper lobe consolidation or substantial amount of pleural fluid lying in the right major fissure . Moderate cardiomegaly and pulmonary vascular congestion are unchanged , but to an extent that might mask the presence of pulmonary nodules . .
    OUTPUT:
    
New right upper lobe consolidation or , alternatively , a substantial layering pleural effusion on the right major fissure . Decreased , now small , right pleural effusion with associated lower lobe atelectasis .