Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to the chest radiograph dated ___ , there is an increased , now moderate , right pleural effusion and a decreased , now small , left pleural effusion . A somewhat linear and somewhat rounded opacity within the right middle lobe likely represents a focus of round atelectasis . Right hemidiaphragm is slightly elevated . Hip
    OUTPUT:
    
Moderate right pleural effusion and small left pleural effusion . Nodular right middle lobe opacity described above likely represents a focus of nodular atelectasis , but recommend short - term interval follow - up radiographs to rule out a round focus of pneumonia or metastatic disease .