Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since prior , there has been a increased opacity at the left lung base compatible with a worsening effusion . Lingular opacity is also increased . The mediastinal contour is unremarkable . The left cardiac border is obscured . The right lung is hyperinflated but grossly clear . There is no pneumothorax . A right chest wall port a catheter ends in the proximal right atrium . Lymphangitic spread better seen on prior CT .
    OUTPUT:
    
Increased size of left - sided pleural effusion and lingular opacity .