Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright chest radiograph demonstrates no change in a moderate apical right pneumothorax . The pleural catheter is unchanged in position along the right lateral thoracic wall . An NG tube tip and side hole are visualized within the stomach . Median sternotomy wires and right thoracic surgical clips are unchanged . Bilateral moderate alveolar and interstitial lung opacities , with superimposed bibasilar atelectasis are increased from the ___ film and similar to ___ film . Moderate right pleural effusion is increasing . The heart size is normal , the mediastinal contours show an unchanged right upper mediastinal triangular opacity adjacent to the suture margin . Partial clavicle resection and right - sided rib deformities with adjacent surgical ___ are again noted .
    OUTPUT:
    
Bilateral moderate lung opacities are worsened , previously waxing and waning course , are likely pulmonary edema , though infection , drug reaction or even hemorrhage could account for this appearance in the appropriate clinical setting . Moderate right apical pneumothorax is unchanged .