Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Large partially loculated left pleural effusion is new . This partially obscures the left heart border . Allowing for this limitation , there has been apparent increase in size of the heart , accompanied by upper zone vascular redistribution and bilateral interstitial opacities . Focal atelectasis is present in the left mid and lower lung regions adjacent to the loculated left pleural effusion .
    OUTPUT:
    
1 . New large loculated left pleural effusion with adjacent atelectasis . Empyema should be considered in the absence of recent trauma or intervention . Coexisting pneumonia in this region is not excluded radiographically . 2 . New bilateral interstitial opacities likely represent interstitial edema in the setting of end - stage renal disease and less likely an atypical pneumonia . Dr . ___ has been paged to discuss these findings at 4 :25 p .m . on ___ at the time of discovery .