Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable view of the chest . The large left pleural effusion has worsened compared to prior study . Moderate right pleural effusion is unchanged . There is moderate pulmonary edema . Underlying pneumonia in lower lobes can not be excluded . No pneumothorax . Heart size can not be assessed .
    OUTPUT:
    
Large left pleural effusion has increased . Moderate right pleural effusion is unchanged . Moderate pulmonary edema is unchanged . Underlying pneumonia in lower lobes can not be excluded . These findings were discussed with Dr . ___ by Dr . ___ at 11 : 24 am on ___ by phone .