Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP chest radiograph demonstrates a large right - sided pleural effusion with associated basilar atelectasis . Concurrent consolidation can not be excluded . There is otherwise little change from ___ . Left pectoral pacemaker leads are in stable position . There is no pneumothorax . There is no pulmonary edema . Evaluation of the heart size is limited due to low lung volumes and AP projection .
    OUTPUT:
    
Enlarging right pleural effusion without pulmonary edema . Recommend obtaining PA and lateral chest radiograph .