Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs demonstrate increased size of a large right pleural effusion PRODUCING LEFTWARD MEDIASTINAL SHIFT ANY NEAR COLLAPSE OF THE OTHERWISE SEVERELY CONGESTED RIGHT LUNG . PERIBRONCHIAL OPACITIES IN THE LEFT LUNG ARE ESSENTIALLY UNCHANGED SINCE ___ . HEART SIZE IS NORMAL .
    OUTPUT:
    
Increased size of a large right pleural effusion . PERSISTENT MULTIFOCAL PERIBRONCHIAL LUNG LESIONS , LEFT LUNG COULD BE WIDESPREAD METASTASIS OR INFLAMMATION SUCH AS INFECTION OR VASCULITIS .