Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right - sided pigtail catheter is unchanged in position . A left - sided biventricular pacer partially obscures the left mid lung . The loculated right pleural effusion has increased , and is now moderate in size . A rounded airspace opacity in the right upper lung zone likely reflects fluid in the major fissure . Cardiomegaly is unchanged . Lingular linear atelectasis is again noted . New blunting of the left costophrenic angle may be due to a small pleural effusion .
    OUTPUT:
    
Interval increase in loculated right pleural effusion , which is now moderate in size . New small left pleural effusion . Stable cardiomegaly .