Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs demonstrate interval increase in a now moderate to large right pleural effusion with collapse of the right middle and lower lobes . A right tunneled IJ hemodialysis catheter is unchanged in appearance with its tip projecting over the expected position of the right atrium . The cardiac silhouette is top normal in size , the mediastinal contours are normal . There is calcification of the aortic arch , and tortuosity of the thoracic aorta . The pulmonary vasculature is normal . The lungs are otherwise clear .
    OUTPUT:
    
1 . Interval increase in now moderate to large right pleural effusion with adjacent right middle and lower lobar collapse , likely chronic . 2 . Unchanged appearance of tunneled right IJ hemodialysis catheter , the tip of which is projecting over the right atrium .