Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval increase in size of a layering right pleural effusion , large in extent . There is overlying atelectasis and / or consolidation . Patchy left basilar opacities likely reflect atelectasis . No pneumothorax identified . The size of the cardiac silhouette is enlarged but unchanged . A left chest wall Port - A - Cath is present with the tip projecting over the distal SVC .
    OUTPUT:
    
Increased size of a layering right pleural effusion , large in extent , with subjacent atelectasis and / or consolidation .