Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been marked interval increase in the right pleural effusion which is now layering posteriorly and almost completely opacifies the right lung . There is a small amount of residual aerated right lung in the mid upper region . There is some volume loss in the left lung and calcified pleural plaques are again seen .
    OUTPUT:
    
Increased right effusion with associated volume loss .