Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient has been extubated . There remains an upper alimentary tube coursing below the diaphragm with tip off the film as well as a right PICC line with tip terminating in the mid SVC . There is stable moderate cardiomegaly . Mediastinal and hilar contours are stable . There has been worsening of the right pleural effusion , and the left pleural effusion is stable . Increased opacification of the right lung likely positional and due to layering of the right pleural effusion . There are no new lung opacities . There is no pneumothorax .
    OUTPUT:
    
Worsening right pleural effusion .