Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Analysis is performed in direct comparison with the similar PA and lateral chest examination of ___ . Comparison of the frontal views indicates a lesser inspirational volume and generally higher positioned diaphragms . The previously described pleural thickening surrounding the left lung remains rather unchanged . The pulmonary vasculature in the right hemithorax does not disclose typical pattern for cardiogenic pulmonary congestion . Scattered nodular densities in the right lung highly suggestive of secondary metastases . Comparison of the lateral views discloses increase of pleural effusion accumulating in the left lower pleural space .
    OUTPUT:
    
Evidence of increasing pleural effusion on the left side . No significant pulmonary vascular congestion as observed in the right hemithorax does not favor diagnosis of heart failure .