Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There appears to be interval increase in the right pleural effusion and atelectasis adjacent to the pleural effusion compared to the prior exam , and approaching the volume prior to the thoracentesis on the scan from ___ . There is no pneumothorax . No new focal consolidations are identified . There is stable bilateral pulmonary edema . Note is made of slightly more prominent scarring / atelectasis at the left lung base , in comparison to the radiograph from ___ . The heart is moderately enlarged , stable compared to exams dating back to at least ___ . There is a pacemaker with leads in appropriate position . There is a replaced mitral valve .
    OUTPUT:
    
Interval increase in the right - sided pleural effusion and adjacent atelectasis approaching the volume seen prior to the thoracentesis on ___ . These findings were discussed with Dr . ___ at 5 : 57 pm , by telephone , on the day of the exam by Dr . ___ .