Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single AP portable radiograph is provided . There is now a moderate - to - large left pleural effusion . There is no right pleural effusion . The visualized lungs are clear without focal consolidation or pneumothorax . Cardiomediastinal silhouette is unchanged . There are no acute skeletal abnormalities . Clips are present in the right breast
    OUTPUT:
    
Moderate - to - large left pleural effusion , new from the prior study .