Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Rotated positioning . A Port - A - Cath type catheter is present , tip probably also overlies the distal SVC . Again seen is cardiomegaly , with a globular configuration . Also again seen is left lower lobe collapse and / or consolidation with air bronchograms obscuration of left hemidiaphragm . The possibility of associated left pleural fluid can not be excluded . The upper portion left lung is grossly clear without CHF or focal infiltrate . No left - sided pneumothorax . On the right , 2 chest tubes are seen at the base of the lung . Fluid and air may be present tracking at the right lung apex . Compare to the prior study , there is a new large lobulated opacity along the right mediastinum and in the right mid zone . A small amount pleural fluid is seen in the right sulcus . The etiology of this is unclear . Most likely etiology is some loculated fluid along the medial surface of the right lung , together with fluid along the minor fissure . Collapse of a portion of the lung is considered less likely . Surrounding the right mid zone opacity , the vascular markings are essentially normal , only minimally prominent . Residual subcutaneous emphysema again noted in the right supraclavicular area and along the right lower chest wall .
    OUTPUT:
    
Persistent marked cardiomegaly . Globular appearance of the cardiac silhouette is similar to the prior study . Persistent left lower lobe collapse and / or consolidation , probably with an associated left pleural effusion . New large opacity in the right mid zone with obscuration of the right cardiac border . The most likely etiology is loculated pleural fluid , including fluid in the minor fissure . If so , then note is made that a large amount of fluid has developed over the period of 1 day . An area of lung collapse is considered less likely . 2 chest tubes present at the base of the right lung . Small amount of fluid seen in the right costophrenic angle . Hazy density at the right lung apex could reflect the presence of some tracking fluid and a possible small pneumothorax ( hydro pneumothorax ) . If clinically indicated , CT could help to better characterize the findings in the right lung .