Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right - sided pleural effusion is once again seen , increased in size since the prior examination . The remainder of the lungs remain clear of any focal opacities or consolidations . Cardiomediastinal silhouette is unchanged in size . Linear parenchymal densities at the right lung base are consistent with plate atelectasis . Position of the previously described orthopedic hardware is unchanged . Multiple air fluid levels are seen within the abdomen as well as dilation of small bowel . This is unchanged from the prior study , but clinical correlation is recommended as this may be due to persistent small bowel obstruction or substantial ileus .
    OUTPUT:
    
1 . Increased in size of right pleural effusion as compared to ___ study . 2 . Multiple air fluid levels and dilat ion of the small bowel as described above raising concern for substantial ileus or bowel obstruction ; clinical correlation is recommended .