Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright chest radiograph ___ at 02 :38 is submitted .
    OUTPUT:
    
Interval increase in size of a left pleural effusion which likely has a loculated component laterally . There is stable retrocardiac consolidation consistent with compressive lower lobe atelectasis . Overall , there is increasing pulmonary vascular indistinctness and worsening opacity in the left mid lung favoring asymmetric pulmonary edema , athough an infectious process in the left mid lung should also be considered . Clinical correlation is recommended . Status post median sternotomy . Given patient rotation , cardiac and mediastinal contours are essentially stable . No pneumothorax .