Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right IJ Swan - Ganz catheter similar in configuration . Cardiomegaly is also grossly unchanged . Please note that pericardial fluid would be difficult to exclude on this study . Again seen is left lower lobe collapse and / or consolidation with obscuration of the left hemidiaphragm suggestive of a small left effusion . This is similar to the film from 1 day earlier , but degree of increased retrocardiac density and obscuration of left hemidiaphragm has increased . Also again seen is a right pleural effusion , now somewhat larger -- moderate in size -- and extending into the minor fissure , with underlying collapse and / or consolidation . Mild upper zone redistribution is not significantly changed .
    OUTPUT:
    
Cardiomegaly and upper zone redistribution , grossly unchanged . Interval increase in size of right pleural effusion , with underlying collapse and / or consolidation . Interval worsening of previously seen left lower lobe collapse and / or consolidation , probably with small left effusion .