Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with ___ , the effusion at the right base is larger and underlying collapse and / or consolidation is increased . Otherwise , allowing for technical differences , I doubt significant interval change . Again seen is somewhat confluent opacity at the right lung apex and patchy opacity at the left lung base , similar to the prior study . No gross left effusion . Doubt CHF . Cardiomediastinal silhouette unchanged .
    OUTPUT:
    
Increase in size of right effusion and underlying collapse and / or consolidation .