Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient with history of metastatic breast cancer and right malignant pleural effusion . Significant increase in the large right multiloculated pleural effusion with an fissural component . Increased opacity in the right middle lobe and right lower lobe since ___ as well as an increased right paratracheal opacity which may be medially loculated pleural fluid or paratracheal adenopathy , difficult to differentiate . The left lung is clear and unchanged . Tiny left pleural effusion new since ___ . The cardiac and mediastinal silhouettes are unremarkable and unchanged . Left chest port terminates in the right atrium .
    OUTPUT:
    
Significant increase in size of large multiloculated right pleural effusion with visual component . Tiny left pleural effusion . Increased opacity in right middle lobe and right lower lobe since ___ which may reflect atelectasis associated with the effusion , or infectious consolidation . Increased opacity in the right paratracheal region , which may be due to medially loculated pleural fluid and / or paratracheal adenopathy