Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: That pigtail catheter is again seen from projecting over the expected midline region for pericardial catheter . The right - sided PICC line tip is in the SVC . The upper lungs are clear without infiltrate . There is volume loss in the left lower lobe with retrocardiac opacity . There is a moderate left pleural effusion . .
    OUTPUT:
    
Increased size of left pleural effusion .