FINDINGS:
There has been interval increase in the right-sided moderate
 pleural effusion compared to the most recent exam.  There is also evidence of
 comensatory right basilar atelectasis. The left lung is clear.  There is no
 pneumothorax.  There is mild cardiomegaly, stable since at least .  The hilar and mediastinal contours are otherwise normal.

IMPRESSION:
Interval increase in the right moderate pleural effusion.