Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . In the interval since the prior study , there has been increase in now moderate right pleural effusion with overlying atelectasis , underlying consolidation can not be excluded . No definite left pleural effusion is seen . There is minimal left base linear atelectasis / scarring . The cardiac silhouette remains enlarged . Dual - lead left - sided AICD is again seen , unchanged in position .
    OUTPUT:
    
Increased now moderate right pleural effusion with overlying atelectasis , underlying consolidation can not be excluded . Persistent enlargement of the cardiac silhouette .