Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were reviewed and compared to the prior studies . A large right pleural effusion has significantly increased since ___ and there is presumed right middle and right lower lobe atelectasis . The left lung is clear without evidence of focal consolidation , pulmonary edema or left - sided pleural effusion . There is no pneumothorax . Evaluation of cardiac size is limited due to the large right pleural effusion however , it is relatively unchanged . The mediastinal contours are stable and calcification within the aortic arch is again noted .
    OUTPUT:
    
Large right - sided pleural effusion has increased since ___ . Findings were telephoned to Dr . ___ by Dr . ___ at 2 :03 p .m . at the time of discovery .