Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since ___ , large right pleural effusion is increased with moderate adjacent basilar atelectasis . The left lung is clear . The cardiac silhouette is difficult to assess due to obscuration from the pleural effusion . No pneumothorax . Median sternotomy wires are intact and well aligned .
    OUTPUT:
    
1 . Large right pleural effusion with adjacent moderate atelectasis is increased since ___ .