Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Inspiratory volumes are slightly lower . Cardiomegaly is again seen , similar to prior . As before , there is increased retrocardiac opacity , consistent with left lower lobe collapse and / or consolidation . Suspect small left effusion . There is also hazy opacity at the right base , an blunting of the right costophrenic angle , consistent with atelectasis and small effusion . There is vascular plethora , slightly more than on the prior exam . Note made again made of a dual - lumen right - sided catheter with lead tips over the right atrium an ___ dilute and a left - sided dual lead pacemaker , similar in configuration . No pneumothorax detected . Prominent rounded lucency overlying left cardiac silhouette is probably unchanged . No air was seen within the pericardium on the CT from ___ . This likely represents air within the lung , adjacent to the heart .
    OUTPUT:
    
Increased vascular engorgement compared with ___ . Continuing cardiomegaly , left lower lobe collapse and / or consolidation , right base atelectasis . The right effusion is slightly larger . Targeted review of interval CT from ___ showed a small pericardial effusion .