Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is moderately enlarged . Sternal wires and mediastinal clips denote prior cardiac surgery . A left - sided pacemaker projects leads into the right atrium and ventricle . Since ___ , there is marked enlargement of a moderate right pleural effusion , with fluid extending into the major fissure . Adjacent atelectasis is present . A trace left pleural effusion remains . There is no pneumothorax .
    OUTPUT:
    
Moderate right pleural effusion . Trace left pleural effusion . Adjacent compressive atelectasis . The findings were communicated by Dr . ___ to ___ , NP , via telephone at the time of interpretation , 1 :44 p .m . on ___ .