Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a large left pleural effusion has increased compared to the prior exam . There is volume loss and consolidation of the left lower lobe . There is also volume loss in the right lower lobe . There is pulmonary vascular redistribution with ill - defined vascularity . Heart size is moderately enlarged . Tracheostomy tube and bilateral central lines are unchanged .
    OUTPUT:
    
Increased left effusion .