Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left costophrenic angle is excluded from the study . Interval development of a large right pleural effusion with adjacent atelectasis . Left - sided pleural effusion is small , also with adjacent atelectasis . Pulmonary vascular congestion is accompanied by asymmetrical right perihilar haziness . Heart is top - normal in size . No pneumothorax .
    OUTPUT:
    
1 . Large right and small left pleural effusions with adjacent atelectasis . 2 . Right perihilar opacity may represent asymmetrical edema , although aspiration and developing infectious pneumonia are additional considerations . Standard PA and lateral chest radiographs would be helpful for complete assessment of this finding when the patient 's condition allows .