Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In addition to chronic dextroscoliosis of the thoracic spine , the patient is markedly leftwardly rotated and in a reverse lordotic configuration , making assessment difficult . There has been marked reduction in size of the left - sided pleural effusion since placement of the catheter ; however , there is a new right - sided moderate pleural effusion . A horizontal line underlying the left main stem bronchus is likely the diaphragmatic contour , although the presence of an air - fluid level can not be excluded on these limited views . There is no pneumothorax , and the visualized lung fields are clear . Cardiomegaly is stable .
    OUTPUT:
    
1 . Interval reduction in size of left - sided pleural effusion with possible new moderate - sized right pleural effusion . 2 . Given the limitations of this current study , a repeat chest radiograph with more careful positioning to avoid rotation should be considered .