Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to ___ , there is substantial increased right pleural effusion , loculated posteriorly in the lower right hemithorax . In addition , there is homogeneous opacity in the right upper lobe bordering the major fissure posteriorly , likely from loculated fluid with adjacent atelectasis and / or consolidation . Right hydro pneumothorax is unchanged . Small left pleural effusion is seen . Hyperexpanded appearance of the lungs with severe emphysematous changes are unchanged . Focal left upper lobe opacity projecting over posterior 4 and fifth rib appears grossly unchanged from ___ and better assessed on prior CT from ___ . Cardiomediastinal contour is unchanged . Pigtail catheter is in anterior right chest and unchanged in position .
    OUTPUT:
    
1 . Substantially increased right pleural effusion with new loculated component . 2 . Right juxtafissural loculated effusion with adjacent atelectasis and / or consolidation .