Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate right pleural effusion has increased from ___ study that followed thoracentesis and again appears to have a fissural component . Moderate cardiomegaly is unchanged . The hila are unremarkable . The left lung is clear . No pneumothorax is seen .
    OUTPUT:
    
Increased moderate right pleural effusion with fissural component .