Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is a small right pleural effusion , slightly increased since the previous exam appear . There is no increasing opacity in the right lower lobe as well as persistent opacity in the right middle lobe obscuring the lower margin of the right heart border concerning for worsening infectious process . Linear opacities in the right mid lung are likely atelectasis . There is persistent cardiomegaly . Median sternotomy wires are intact . The imaged upper abdomen is unremarkable .
    OUTPUT:
    
1 . Increasing right lower and middle lobe opacities concerning for worsening infection or aspiration . 2 . Slightly increased small right pleural effusion .