Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right IJ and left PICC are unchanged in position . An NGT terminates within the stomach . The heart size is normal . The hilar and mediastinal contours are unchanged since the 1 :02 p .m . examination . Again seen is a lucency across the right minor fissure , representing a small pneumothorax , unchanged in appearance since the prior study . However , there has been an interval increase of a moderate - sized right pleural effusion . The left lung remains clear . A pigtail catheter is positioned at the left lung base .
    OUTPUT:
    
1 . Unchanged small right pneumothorax tracking along the minor fissure . 2 . Interval increase of a moderate - sized right pleural effusion since the 1 :02 p .m . study . 3 . No left pneumothorax . The initial findings were discussed by Dr . ___ with Dr . ___ ___ telephone at 5 :21 p .m . on ___ .