Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate right pleural effusion has Re accumulated with increasing adjacent atelectasis almost complete collapse of the right lower lobe and large atelectasis in the right middle lobe . Cardiac size can not be evaluated . Vascular congestion has markedly improved . Small left effusion has decreased with decreasing left lower opacities . Loculated left apical hydro pneumothorax and left apical consolidation are unchanged .
    OUTPUT:
    
Re-accumulation of right pleural effusion . worsening adjacent atelectasis in the right middle lobe and right lower lobes .