Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A tracheostomy and sternotomy wires are in place . A pleural pigtail catheter projects over the right costophrenic angle . A left PICC tip terminates at the upper - to - mid SVC . A thin tubular structure terminating in the right axilla may represent an additional peripherally placed IV line . Trace apical pneumothorax may be present , but there is no large pneumothorax , mediastinal shift , or diaphragmatic flattening . Crescentic lucency along the lateral aspect of the right chest represents air within a skinfold . The heart size is at the upper limits of normal . Retrocardiac opacity persists , and blunting of the left costophrenic angle may represent a moderate pleural effusion there . Minimal right basal atelectasis is present , but no large pleural effusion exists on the right .
    OUTPUT:
    
1 . Trace apical pneumothorax without appreciable right pleural effusion . 2 . Moderate left - sided pleural effusion with continued retrocardiac consolidation - considerations include atelectasis or pneumonia .