Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . Note is made of mild pulmonary vascular congestion , otherwise the hilar mediastinal contours are normal . There is no overt pulmonary edema . Right - sided tunneled catheter terminates within the right cavoatrial junction . There is no evidence of a pneumothorax . Moderate left pleural effusion has increased compared to the prior exam . Adjacent atelectasis , is compressive .
    OUTPUT:
    
New moderate left - sided pleural effusion , and adjacent compressive atelectasis . A superimposed infection can not be excluded . Pulmonary vascular congestion , without frank pulmonary edema .