very large right pleural effusion causing significant compression atelectasis of the right middle and lower lobes. the radiology technologist contacted the reading room at <time> on <unk> with concerns that the patient was short of breath. the ordering physician <unk>. <unk> was contacted <unk> min after discovery of the finding. he explained that the patient was stable in the office approximately <unk> min prior and that the finding would be managed in the outpatient setting. dr. <unk> <unk> that the patient go home and follow up with his primary care physician. this recommendation was communicated to the patient who was further advised to present to the emergency room if his shortness-of-breath worsened.