Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with ___ at 10 :44 , the moderate - size right - sided effusion has increased . There is likely underlying collapse and / or consolidation . There is possible increased retrocardiac otic opacity , and obscuration of left costophrenic angle is new , though this appearance is likely accentuated by overlying soft tissues on the frontal view . There is increased vascular plethora .
    OUTPUT:
    
Interval increase in size of right pleural effusion , with underlying collapse and / or consolidation . Increased opacity at the left base is probably accentuated by overlying soft tissues , but the possibility of a very small left effusion and left base atelectasis / early infiltrate can not be excluded . Increased vascular plethora , consistent with CHF / fluid overload .