Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval removal of the left pigtail catheter . The lungs are again noted to be hyperexpanded . No pneumothorax is identified . There has been no significant interval change in size of the moderate left pleural effusion and adjacent atelectasis . Increasing opacity in the right midlung zone may reflect aspiration or pneumonia . The size and appearance of the cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
Interval removal of the left pigtail catheter . No pneumothorax is identified . Increasing opacity in the right mid lung zone may reflect aspiration or pneumonia . No significant interval change in the moderate left pleural effusion with adjacent atelectasis .