Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Increase in large right pleural effusion with right middle and lower lobe collapse is again noted . Cardiac size is normal . There is no pneumothorax . Left chest port with tip in the low SVC . Right PICC line tip in lower SVC .
    OUTPUT:
    
Increasing large right pleural effusion with right middle and lower lobe collapse