Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right - sided pleural effusions shows interval increase in size , and appears mildly loculated . No mediastinal shift , suggesting slow development and atelectasis . There is no pulmonary edema . The left lung is clear . Pulmonary hyperinflation suggesting COPD . Evidence of previous CABG . Cardiomegaly is again noted . Degenerative changes of the thoracic spine .
    OUTPUT:
    
The right - sided pleural effusions shows interval increase in size , and appears mildly loculated