Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison with most recent study there has been interval increase in the left pleural effusion which obscures the left heart border . The right - sided pleural effusion has decreased in size . There is stable pulmonary vascular congestion .
    OUTPUT:
    
Interval increase in left pleural effusion with interval decrease in right pleural effusion and stable pulmonary vascular congestion .