Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Large right - sided pleural effusion is again seen , which despite given differences in technique appears larger . There is adjacent atelectasis also increased . Aerated right upper lung and left lung are grossly clear . There is no evidence of significant mediastinal shift . No pneumothorax .
    OUTPUT:
    
Interval enlargement of the right - sided pleural effusion with adjacent atelectasis .