Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right pleural effusion has increased in size and is now at least moderate , with a subpulmonic component . Apparent interval increase in width of the right cardiac contour could reflect pericardial effusion or medially loculated pleural effusion mimicking pericardial disease . In addition to right retrocardiac atelectasis adjacent to the pleural effusion , linear atelectasis has developed in the right upper lobe adjacent to a fluid - filled azygous fissure . The left lung is clear . Small left pleural effusion has slightly increased in size . Diffusely distended loops of bowel are present in the imaged portion of the upper abdomen and are not fully evaluated on this chest radiograph .
    OUTPUT:
    
1 . Increased right pleural effusion with subpulmonic component . Change in configuration of right heart border could reflect a medially loculated component of pleural fluid or a pericardial effusion . Right lateral decubitus chest x-ray may be helpful to better assess the quantity of pleural fluid and to assess for layering . 2 . Slight increase in size of small left pleural effusion . 3 . Distended loops of large bowel in the upper abdomen are incompletely evaluated on this chest radiograph .