Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is difficult to evaluate due to a large right - sided pleural effusion with adjacent right middle and lower lobe collapse without mediastinal shift . Dense pericardial calcification is best visualized on lateral view . A left - sided single - lead ICD is unchanged in position . Compared to earlier examination , there has been worsening of central vascular congestion and interstitial edema . The lungs are otherwise clear . There is no pneumothorax .
    OUTPUT:
    
Mild - to - moderate pulmonary edema intervally worsened with unchanged probably chronic large right pleural effusion with right middle / lower lobe collapse .