Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been little change in the large right pleural effusion . The 2 right - sided chest tubes are unchanged in position . No pneumothorax . The cardiac silhouette is continually enlarged . Intact median sternotomy wires .
    OUTPUT:
    
No change in the large right pleural effusion or position of the 2 right - sided chest tubes . No evidence of pneumothorax .