Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is a large right - sided pleural effusion and bilateral lower lobe opacities compatible with volume loss / infiltrate as well as the effusion . There is pulmonary vascular redistribution . prominence of left hilum is unchanged compared to the prior exam . .
    OUTPUT:
    
The right pleural effusion is larger in fluid status is worse