Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable view of the chest shows interval increase in a left pleural effusion with associated volume loss . There is a similar degree of vascular congestion compared to prior . The cardiomediastinal and hilar contours are stable . Transvenous pacer leads are in expected position .
    OUTPUT:
    
Interval increase in left pleural effusion and associated volume loss .